Common Board Design for the OBC I/O Unit and The OBC CCSDS Unit of The Stuttgart University Satellite "Flying Laptop"

NASA Astrophysics Data System (ADS)

Eickhoff, Jens; Cook, Barry; Walker, Paul; Habinc, Sadi; Witt, Rouven; Roser, Hans-Peter

2011-08-01

As already published in another paper at DASIA 2010 in Budapest [1] the University of Stuttgart, Germany, is developing an advanced 3-axis stabilized small satellite applying industry standards for command/control techniques, onboard software design and onboard computer components.The satellite has a launch mass of approx. 120kg and is foreseen to be launched end 2013 as piggy back payload on an Indian PSLV launcher.During phase C the main challenge was the conceptual design for an ultra compact and performant onboard computer (OBC), which is able to support an industry standard operating system, a PUS standard based onboard software (OBSW) and CCSDS standard based ground/space communication. The developed architecture is based on 4 main elements (see [1] and Figure 4):• the OBC core board (single board computer based on LEON3 FT architecture),• an I/O Board for all OBC digital interfaces to S/C equipment,• a CCSDS TC/TM pre-processor board,• CPDU being embedded in the PCDU.The EM for the OBC core meanwhile has been shipped to the University by the supplier Aeroflex Colorado Springs, USA and is in use in Stuttgart since January 2011. Figure 2 and Figure 3 provide brief impressions. This paper concentrates on the common design of the I/O board and the CCSDS processor boards.

Building a better methane generation model: Validating models with methane recovery rates from 35 Canadian landfills.

PubMed

Thompson, Shirley; Sawyer, Jennifer; Bonam, Rathan; Valdivia, J E

2009-07-01

The German EPER, TNO, Belgium, LandGEM, and Scholl Canyon models for estimating methane production were compared to methane recovery rates for 35 Canadian landfills, assuming that 20% of emissions were not recovered. Two different fractions of degradable organic carbon (DOC(f)) were applied in all models. Most models performed better when the DOC(f) was 0.5 compared to 0.77. The Belgium, Scholl Canyon, and LandGEM version 2.01 models produced the best results of the existing models with respective mean absolute errors compared to methane generation rates (recovery rates + 20%) of 91%, 71%, and 89% at 0.50 DOC(f) and 171%, 115%, and 81% at 0.77 DOC(f). The Scholl Canyon model typically overestimated methane recovery rates and the LandGEM version 2.01 model, which modifies the Scholl Canyon model by dividing waste by 10, consistently underestimated methane recovery rates; this comparison suggested that modifying the divisor for waste in the Scholl Canyon model between one and ten could improve its accuracy. At 0.50 DOC(f) and 0.77 DOC(f) the modified model had the lowest absolute mean error when divided by 1.5 yielding 63 +/- 45% and 2.3 yielding 57 +/- 47%, respectively. These modified models reduced error and variability substantially and both have a strong correlation of r = 0.92.

Preparation, characterization of Sb-doped ZnO nanocrystals and their excellent solar light driven photocatalytic activity

NASA Astrophysics Data System (ADS)

Nasser, Ramzi; Othmen, Walid Ben Haj; Elhouichet, Habib; Férid, Mokhtar

2017-01-01

In the present study, undoped and antimony (Sb) doped ZnO nanocrystals (NCs) were prepared by a simple and economical sol-gel method. X-ray diffraction (XRD) and transmission electron microscopy (TEM) revealed the purity of the obtained phase and its high crystallinity. Raman analysis confirms the hexagonal Wurtzite ZnO structure. According to the diffuse reflectance results, the band gap was found to decrease up to 3% of Sb doping (ZSb3 sample). The results of X-ray photoelectron spectroscopy (XPS) measurements reveal that Sb ions occupied both Zn and interstitials sites. The successful substitution of antimony in ZnO lattice suggests the formation of the complex (SbZn-2 VZn) acceptor level above the valence band. Particularly for ZSb3 sample, the UV photoluminescence (PL) band presents an obvious red-shift attributed to the formation of this complex. Rhodamine B (RhB) was used to evaluate the photocatalytic activity of Sb-doped ZnO NCs under sunlight irradiation. It was found that oxygen vacancies play a major role in the photocatalytic process by trapping the excited electrons and inhibiting the radiative recombination. During the photocatalytic mechanism, the Sb doping, expressed through the apparition of the (SbZn-2 VZn) correspondent acceptor level, enhances the sunlight absorption within the ZnO band gap, which stimulates the generation of hydroxyl radicals and promotes the photocatalytics reaction rates. Such important contribution of the hydroxyl radicals was confirmed experimentally when using ethanol as scavenger in the photocatalytic reaction. The photodegradation experiments reveal that ZSb3 sample exhibits the highest photocatalytic activity among all the prepared samples and presents a good cycling stability and reusability. The influence of the initial pH in the photodegradation efficiency was also monitored and discussed.

Correlation consistent valence basis sets for use with the Stuttgart-Dresden-Bonn relativistic effective core potentials: The atoms Ga-Kr and In-Xe

NASA Astrophysics Data System (ADS)

Martin, Jan M. L.; Sundermann, Andreas

2001-02-01

We propose large-core correlation-consistent (cc) pseudopotential basis sets for the heavy p-block elements Ga-Kr and In-Xe. The basis sets are of cc-pVTZ and cc-pVQZ quality, and have been optimized for use with the large-core (valence-electrons only) Stuttgart-Dresden-Bonn (SDB) relativistic pseudopotentials. Validation calculations on a variety of third-row and fourth-row diatomics suggest them to be comparable in quality to the all-electron cc-pVTZ and cc-pVQZ basis sets for lighter elements. Especially the SDB-cc-pVQZ basis set in conjunction with a core polarization potential (CPP) yields excellent agreement with experiment for compounds of the later heavy p-block elements. For accurate calculations on Ga (and, to a lesser extent, Ge) compounds, explicit treatment of 13 valence electrons appears to be desirable, while it seems inevitable for In compounds. For Ga and Ge, we propose correlation consistent basis sets extended for (3d) correlation. For accurate calculations on organometallic complexes of interest to homogenous catalysis, we recommend a combination of the standard cc-pVTZ basis set for first- and second-row elements, the presently derived SDB-cc-pVTZ basis set for heavier p-block elements, and for transition metals, the small-core [6s5p3d] Stuttgart-Dresden basis set-relativistic effective core potential combination supplemented by (2f1g) functions with exponents given in the Appendix to the present paper.

Managing the Reputation of DHS and its Components

DTIC Science & Technology

2009-06-01

Neutral Reputations,” 129. 70 Ibid., 125. 71 Hans Krause Hansen, Roy Langer, and Dorte Salskov-Iversen, “Managing Political Communications...Rossow, “The Delphi Process in Marketing Decision Making,” Journal of Marketing Research 8, no. 4 (1971): 444. 153 Ibid. 154 Wolfgang Scholl...May 8, 2006): 45. Santoli, Michael. “They’ve Got Class.” Barron’s 87, no. 37 (September 10, 2007): 33-36. Scholl, Wolfgang , Christine Konig, Bertolt

Walkability is only part of the story: walking for transportation in Stuttgart, Germany.

PubMed

Reyer, Maren; Fina, Stefan; Siedentop, Stefan; Schlicht, Wolfgang

2014-05-30

In modern Western societies people often lead inactive and sedentary lifestyles, even though there is no doubt that physical activity and health are related. From an urban planning point of view it would be highly desirable to develop built environments in a way that supports people in leading more active and healthy lifestyles. Within this context there are several methods, predominantly used in the US, to measure the suitability of built environments for walking and cycling. Empirical studies show that people living in highly walkable areas are more physically active (for example, walk more or cycle more). The question is, however, whether these results are also valid for European cities given their different urban planning characteristics and infrastructure standards. To answer this question we used the Walkability-Index and the Walk Score to empirically investigate the associations between walkability and active transportation in the city of Stuttgart, Germany. In a sample of household survey data (n = 1.871) we found a noticeable relationship between walkability and active transportation-the more walkable an area was, the more active residents were. Although the statistical effect is small, the health impact might be of relevance. Being physically active is multi-determined and not only affected by the walkability of an area. We highlight these points with an excursion into research that the health and exercise sciences contribute to the topic. We propose to strengthen interdisciplinary research between the disciplines and to specifically collect data that captures the influence of the environment on physical activity in the future.

Walkability is Only Part of the Story: Walking for Transportation in Stuttgart, Germany

PubMed Central

Reyer, Maren; Fina, Stefan; Siedentop, Stefan; Schlicht, Wolfgang

2014-01-01

In modern Western societies people often lead inactive and sedentary lifestyles, even though there is no doubt that physical activity and health are related. From an urban planning point of view it would be highly desirable to develop built environments in a way that supports people in leading more active and healthy lifestyles. Within this context there are several methods, predominantly used in the US, to measure the suitability of built environments for walking and cycling. Empirical studies show that people living in highly walkable areas are more physically active (for example, walk more or cycle more). The question is, however, whether these results are also valid for European cities given their different urban planning characteristics and infrastructure standards. To answer this question we used the Walkability-Index and the Walk Score to empirically investigate the associations between walkability and active transportation in the city of Stuttgart, Germany. In a sample of household survey data (n = 1.871) we found a noticeable relationship between walkability and active transportation—the more walkable an area was, the more active residents were. Although the statistical effect is small, the health impact might be of relevance. Being physically active is multi-determined and not only affected by the walkability of an area. We highlight these points with an excursion into research that the health and exercise sciences contribute to the topic. We propose to strengthen interdisciplinary research between the disciplines and to specifically collect data that captures the influence of the environment on physical activity in the future. PMID:24886755

Preliminary Data about Vertical Deformation of the eastern part of the Anatolian Scholle: Insight from Pülümür River Terraces

NASA Astrophysics Data System (ADS)

Sançar, Taylan; Sunal, Gürsel; Korhan Erturaç, M.

2017-04-01

The northward motion of the African and Arabian plates relative to Eurasia and westward motion of the Anatolian scholle (An) have a key role in understanding of the eastern Mediterranean tectonics setting. The North and East Anatolian Shear Zones (NASZ and EASZ) present the main deformation zones of westward extrusion of the Anatolia whereas the NW-striking dextral and the NE-striking sinistral faults represent the remarkable intra-plate deformation within the An. In contrast to the earlier hypothesis, recent geologic and geodetic studies and micro seismic activity strongly suggests that internal deformation of the An is a continuous process. Some of these strike-slip faults, such as Tuzgölü Fault, Ecemiş Fault and Malatya-Ovacık Fault Zone (MOFZ), have long been documented in terms of the kinematic evolution, slip-rate and paleoseismic activity but there is no or very limited knowledge on the uplift characteristics of the An. In this study, we focused on more complex region of the An, which is delimited by the NASZ at north, the EASZ at southeast, the MOFZ at west and the Nazmiye Fault Zone (NFZ) at south. We present data on the distribution of geologic and morphologic structures by using satellite images, aerial stereo pairs, digital elevation models (DEM) with 10 m ground pixel resolution and extensive field observations in this region, particularly along the NFZ that has two sub-parallel segments. The horizontal deformation along the NFZ, within the eastern part of the An, represented by 20 m to 10 km horizontal displacements.The spatial distribution of terraces of the Pülümür River that is one of the biggest drainage systems of the region is a clear morphologic indicator of the vertical deformation of the eastern An. The Pülümür River incised into Paleozoic metamorphic basement at the north and Eocene volcanoclastic at the south. We mapped three terrace levels (T1-T3) in the V-shaped Pülümür River valley that has about 5 km offset along the both

Biopolymers: Protein and Nucleic Acids

DTIC Science & Technology

1987-09-15

characterized a 45 kDa "ZSB, de!•ignted S’SB1, most extensively. SSB1 was isolated on the basis of preferential binding to sin ie-stranded versus double...stranded DNA and was subsequently shown also to bind to RNA (9). Although SSB1 seems to bind without sequen-e specificity, it is interesting to note...that it copurifies through several a inity steps with the yeast poly (A) binding protein (11, Sach3 and Jong, unpublished observations). SSB1 stimulates

Eustatic control on epicontinental basins: The example of the Stuttgart Formation in the Central European Basin (Middle Keuper, Late Triassic)

NASA Astrophysics Data System (ADS)

Franz, M.; Nowak, K.; Berner, U.; Heunisch, C.; Bandel, K.; Röhling, H.-G.; Wolfgramm, M.

2014-11-01

The deposition of the Stuttgart Formation ('Schilfsandstein'), commonly considered as a type-example of the Carnian Pluvial Event, was controlled by high frequent 4th order sequences that resulted in pre-, intra- and post-Schilfsandstein transgressions from Tethyan waters into the epicontinental Central European Basin (CEB). The pre-Schilfsandstein transgression flooded the CEB trough gates to the Southeast and resulted in a wide-spread inland sea that was characterised by increased biological productivity, predominantly oxic conditions and enabled the immigration of euryhaline marine fauna with plankton, ostracodes, fishes, bivalves and the gastropods Omphaloptychia suebica n. sp. and Settsassia stuttgartica n. sp. The rather short-term intra- and post-Schilfsandstein transgressions flooded the CEB from the Southwest and Southeast and established a shallow brackish inland sea that stretched up to North Germany. Both, the 4th and 3rd order sequences derived from the succession in the CEB correlate well with those derived from successions of Tethyan shelfs. Therefore pronounced circum-Tethyan eustatic cycles are evidenced and may have had considerable impact on prominent middle Carnian events: Reingraben turnover, Carnian Pluvial Event, Carnian Crisis and Mid Carnian Wet Intermezzo. The broad circum-Tethyan evidence of 106-year scale cycles suggests glacioeustatic sea-level changes even in the Triassic Greenhouse period.

Variability of three-dimensional sea breeze structure in southern France: observations and evaluation of empirical scaling laws

NASA Astrophysics Data System (ADS)

Drobinski, P.; Bastin, S.; Dabas, A.; Delville, P.; Reitebuch, O.

2006-08-01

Sea-breeze dynamics in southern France is investigated using an airborne Doppler lidar, a meteorological surface station network and radiosoundings, in the framework of the ESCOMPTE experiment conducted during summer 2001 in order to evaluate the role of thermal circulations on pollutant transport and ventilation. The airborne Doppler lidar WIND contributed to three-dimensional (3-D) mapping of the sea breeze circulation in an unprecedented way. The data allow access to the onshore and offshore sea breeze extents (xsb), and to the sea breeze depth (zsb) and intensity (usb). They also show that the return flow of the sea breeze circulation is very seldom seen in this area due to (i) the presence of a systematic non zero background wind, and (ii) the 3-D structure of the sea breeze caused by the complex coastline shape and topography. A thorough analysis is conducted on the impact of the two main valleys (Rhône and Durance valleys) affecting the sea breeze circulation in the area.

Finally, this dataset also allows an evaluation of the existing scaling laws used to derive the sea breeze intensity, depth and horizontal extent. The main results of this study are that (i) latitude, cumulative heating and surface friction are key parameters of the sea breeze dynamics; (ii) in presence of strong synoptic flow, all scaling laws fail in predicting the sea breeze characteristics (the sea breeze depth, however being the most accurately predicted); and (iii) the ratio zsb/usb is approximately constant in the sea breeze flow.

Relativistic Fermions Generated by Square Lattices in Layered Compounds

NASA Astrophysics Data System (ADS)

Mao, Zhiqiang

Recent discoveries of topological semimetals have generated immense interests since they represent new topological states of quantum matters. In this talk, I will present our recent studies on topological semimetals, which are focused on Dirac/Weyl fermions generated by square lattices in layered compounds. I will first report on our discoveries of two new Dirac materials Sr1-yMn1-zSb2 and BaMnSb2 in which nearly massless Dirac fermions are generated by 2D Sb layers. In Sr1-yMn1-zSb2, Dirac fermions are found to coexist with ferromagnetism, offering a rare opportunity to investigate the interplay between relativistic fermions and spontaneous time reversal symmetry breaking and explore a possible magnetic Weyl state. Then I will show our quantum oscillation studies on two new Dirac nodal line semimetals - ZrSiSe and ZrSiTe. We have not only revealed their signatures of nodal-line fermions, but also demonstrated that their atomically thin crystals are accessible via mechanical exfoliation, raising the possibility of realizing the theoretically predicted 2D topological insulators. Finally I will discuss exotic quantum transport behavior arising from the zeroth Landau level in Weyl semimetal YbMnBi2. This work is supported by the U.S. DOE under Grant No. DE-SC0014208 (support for the work on ZrSiSe and ZrSiTe) and DOE-EPSCoR Grant No. DE-SC0012432 with additional support from the Louisiana BoR (support for the work on (Sr/Ba)MnSb2 and YbMnBi2).

Identification of Heterotrophic Zinc Mobilization Processes among Bacterial Strains Isolated from Wheat Rhizosphere (Triticum aestivum L.).

PubMed

Costerousse, Benjamin; Schönholzer-Mauclaire, Laurie; Frossard, Emmanuel; Thonar, Cécile

2018-01-01

Soil and plant inoculation with heterotrophic zinc-solubilizing bacteria (ZSB) is considered a promising approach for increasing zinc (Zn) phytoavailability and enhancing crop growth and nutritional quality. Nevertheless, it is necessary to understand the underlying bacterial solubilization processes to predict their repeatability in inoculation strategies. Acidification via gluconic acid production remains the most reported process. In this study, wheat rhizosphere soil serial dilutions were plated on several solid microbiological media supplemented with scarcely soluble Zn oxide (ZnO), and 115 putative Zn-solubilizing isolates were directly detected based on the formation of solubilization halos around the colonies. Eight strains were selected based on their Zn solubilization efficiency and siderophore production capacity. These included one strain of Curtobacterium , two of Plantibacter , three strains of Pseudomonas , one of Stenotrophomonas , and one strain of Streptomyces In ZnO liquid solubilization assays, the presence of glucose clearly stimulated organic acid production, leading to medium acidification and ZnO solubilization. While solubilization by Streptomyces and Curtobacterium was attributed to the accumulated production of six and seven different organic acids, respectively, the other strains solubilized Zn via gluconic, malonic, and oxalic acids exclusively. In contrast, in the absence of glucose, ZnO dissolution resulted from proton extrusion (e.g., via ammonia consumption by Plantibacter strains) and complexation processes (i.e., complexation with glutamic acid in cultures of Curtobacterium ). Therefore, while gluconic acid production was described as a major Zn solubilization mechanism in the literature, this study goes beyond and shows that solubilization mechanisms vary among ZSB and are strongly affected by growth conditions. IMPORTANCE Barriers toward a better understanding of the mechanisms underlying zinc (Zn) solubilization by bacteria

Enhancing the revision of the static geological model of the Stuttgart Formation at the Ketzin pilot site by integration of reservoir simulations and 3D seismics

NASA Astrophysics Data System (ADS)

Kempka, Thomas; Norden, Ben; Ivanova, Alexandra; Lüth, Stefan

2017-04-01

Pilot-scale carbon dioxide storage has been performed at the Ketzin pilot site in Germany from June 2007 to August 2013 with about 67 kt of CO2 injected into the Upper Triassic Stuttgart Formation. In this context, the main aims focussed on verification of the technical feasibility of CO2 storage in saline aquifers and development of efficient strategies for CO2 behaviour monitoring and prediction. A static geological model has been already developed at an early stage of this undertaking, and continuously revised with the availability of additional geological and operational data as well as by means of reservoir simulations, allowing for revisions in line with the efforts to achieve a solid history match in view of well bottomhole pressures and CO2 arrival times at the observation wells. Three 3D seismic campaigns followed the 2005 3D seismic baseline in 2009, 2012 and 2015. Consequently, the interpreted seismic data on spatial CO2 thickness distributions in the storage reservoir as well as seismic CO2 detection limits from recent conformity studies enabled us to enhance the previous history-matching results by adding a spatial component to the previous observations, limited to points only. For that purpose, we employed the latest version of the history-matched static geological reservoir model and revised the gridding scheme of the reservoir simulation model by coarsening and introducing local grid refinements at the areas of interest. Further measures to ensure computational efficiency included the application of the MUFITS reservoir simulator (BLACKOIL module) with PVT data derived from the MUFITS GASSTORE module. Observations considered in the inverse model calibration for a simulation time of about 5 years included well bottomhole pressures, CO2 arrival times and seismically determined CO2 thickness maps for 2009 and 2012. Pilot points were employed by means of the PEST++ inverse simulation framework to apply permeability multipliers, interpolated by kriging

Security Information and Event Management Tools and Insider Threat Detection

DTIC Science & Technology

2013-09-01

Orebaugh, A., Scholl , M., & Stine, K. (2011, September). Information security continuous monitoring (ISCM) for federal information systems and...E., Conway, T., Keverline, S., Williams , M., Capelli, D., Willke, B., & Moore, A. (2008, January). Insider threat study: illicit cyber activity in

Evaluation of the central sleep apnea in asymptomatic children with Chiari 1 malformation: an open question.

PubMed

Zaffanello, Marco; Sala, Francesco; Sacchetto, Luca; Gasperi, Emma; Piacentini, Giorgio

2017-05-01

Type I is the most common Chiari malformation in children. In this condition, the lower part of the cerebellum, but not the brain stem, extends into the foramen magnum at the base of the skull leading to intermittent brain hypertension. In symptomatic children, central sleep apneas are shown in polysomnography evaluation. A central apnea index of 1/h or more is considered abnormal, but >5/h is clearly considered pathological. Therefore, central sleep apnea evaluation in pediatric age may show great age-related variability. We present three patients who were assessed by polysomnography with two different scores for central sleep apneas published in the literature: the method by Scholle (2011) and the American Academy of Sleep Medicine scoring system (2012). We speculated that the Scholle scoring system can be more helpful in assessing children with asymptomatic Chiari 1 malformation for a closer follow-up. More studies are needed.

Evidence of seasonal variation in longitudinal growth of height in a sample of boys from Stuttgart Carlsschule, 1771-1793, using combined principal component analysis and maximum likelihood principle.

PubMed

Lehmann, A; Scheffler, Ch; Hermanussen, M

2010-02-01

Recent progress in modelling individual growth has been achieved by combining the principal component analysis and the maximum likelihood principle. This combination models growth even in incomplete sets of data and in data obtained at irregular intervals. We re-analysed late 18th century longitudinal growth of German boys from the boarding school Carlsschule in Stuttgart. The boys, aged 6-23 years, were measured at irregular 3-12 monthly intervals during the period 1771-1793. At the age of 18 years, mean height was 1652 mm, but height variation was large. The shortest boy reached 1474 mm, the tallest 1826 mm. Measured height closely paralleled modelled height, with mean difference of 4 mm, SD 7 mm. Seasonal height variation was found. Low growth rates occurred in spring and high growth rates in summer and autumn. The present study demonstrates that combining the principal component analysis and the maximum likelihood principle enables growth modelling in historic height data also. Copyright (c) 2009 Elsevier GmbH. All rights reserved.

Accumulation of polycyclic aromatic hydrocarbons and trace elements in the bioindicator plants Tillandsia capillaris and Lolium multiflorum exposed at PM10 monitoring stations in Stuttgart (Germany).

PubMed

Rodriguez, J H; Pignata, M L; Fangmeier, A; Klumpp, A

2010-06-01

The accumulation of polycyclic aromatic hydrocarbons (PAHs) in Tillandsia capillaris Ruiz and Pav. form capillaris and trace elements in T. capillaris and Lolium multiflorum (LAM) cv. Lema was assessed and evaluated in the city of Stuttgart, Germany. Several sites (urban, suburban and rural) categorized according to type and intensity of vehicular traffic were investigated. At these sites, plants of T. capillaris and standardized cultures of L. multiflorum were exposed to ambient air. Foliar concentrations of PAHs (16 priority pollutants according to US-EPA) and of the trace elements Br, Co, Cu, Fe, Mn, Ni, Pb and Zn were determined. A high level of vehicular traffic was associated with the largest concentrations of PM(10) in ambient air and with the highest contents of PAHs and heavy metals in the bioindicator plants. The results showed a similar pattern between T. capillaris and the standardized biomonitor L. multiflorum. Therefore, these results allow us to propose T. capillaris as a suitable bioindicator to assess the distribution of pollution impacts caused by PAHs and trace elements in different subtropical and tropical regions. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

Orbital clustering of martian Trojans: An asteroid family in the inner Solar System?

NASA Astrophysics Data System (ADS)

Christou, Apostolos A.

2013-05-01

We report on the discovery of new martian Trojans within the Minor Planet Center list of asteroids. Their orbital evolution over 108 yr shows characteristic signatures of dynamical longevity (Scholl, H., Marzari, F., Tricarico, P. [2005]. Icarus 175, 397-408) while their average orbits resemble that of the largest known martian Trojan, 5261 Eureka. The group forms a cluster within the region where the most stable Trojans should reside. Based on a combinatorial analysis and a comparison with the jovian Trojan population, we argue that both this feature and the apparent paucity of km-sized martian Trojans (Trilling, D.E., Spahr, T.B., Rivkin, A.S., Hergenrother, C.W., Kortenkamp, S.J. [2006]. ID 2006A-0251) as compared to expectations from earlier work (Tabachnik, S., Evans, N.W. [1999]. Astrophys. J. 517, L63-L66) is not due to observational bias but instead a natural end result of the collisional comminution (Jutzi, M., Michel, P., Benz, W., Richardson, D.C. [2010]. Icarus 207, 54-65) or, alternatively, the rotational fission (Pravec, P. et al. [2010]. Nature 466, 1085-1088) of a progenitor L5 Trojan of Mars. Under the collisional scenario in particular, the new martian Trojans are dynamically young, in agreement with our age estimate of this "cluster" of <2 Gyr based on the earlier work of Scholl et al. (Scholl, H., Marzari, F., Tricarico, P. [2005]. Icarus 175, 397-408). This work highlights the Trojan regions of the terrestrial planets as natural laboratories to study processes important for small body evolution in the Solar System and provides the first direct evidence for an orbital cluster of asteroids close to the Earth.

Water-Soluble Nanodiamond (Postprint)

DTIC Science & Technology

2012-03-01

Lim, D.-S. Tribological behavior of PTFE film with nanodiamond. Surf. Coat. Technol. 2004, 188−189, 534−538. (9) Williams , O. A.; Nesladek, M.; Daenen...properties and applications. Russ. Chem. Rev. 2001, 70, 607−626. (27) Liang, Y.; Meinhardt, T.; Jarre, G.; Ozawa, M.; Vrodijak, P.; Scholl , A

In Situ Observation of Reversible Nanomagnetic Switching Induced by Electric Fields

DTIC Science & Technology

2010-03-12

Balke, N.; Yang, C. H.; Lee, D.; Hu, W.; Zhan, Q.; Yang, P. L.; Fraile-Rodriguez, A.; Scholl , A.; Wang, S. X.; Ramesh, R. Nat. Mater. 2008, 7 (6... Williams , D. B.; Carter, C. B., Transmission electron microscopy: a textbook for materials science; Plenum Press: New York, 1996; Vol. xxvii, p 729

Memory colours affect colour appearance.

PubMed

Witzel, Christoph; Olkkonen, Maria; Gegenfurtner, Karl R

2016-01-01

Memory colour effects show that colour perception is affected by memory and prior knowledge and hence by cognition. None of Firestone & Scholl's (F&S's) potential pitfalls apply to our work on memory colours. We present a Bayesian model of colour appearance to illustrate that an interaction between perception and memory is plausible from the perspective of vision science.

Law and the Teacher of English and Language Arts.

ERIC Educational Resources Information Center

Spicer, Harold O., Ed.; Mullican, James S., Ed.

1975-01-01

This special issue of the "Indiana English Journal" focuses on the law and the teacher of English and language arts. Included in the issue are the following articles: "The High School Press and Prior Restraint" by Roy Colquitt, "What's Obscene in Indiana? The New Law, the Miller Decision, and the Teaching of English" by Peter Scholl, and "The Law…

Attention and multisensory modulation argue against total encapsulation.

PubMed

de Haas, Benjamin; Schwarzkopf, Dietrich Samuel; Rees, Geraint

2016-01-01

Firestone & Scholl (F&S) postulate that vision proceeds without any direct interference from cognition. We argue that this view is extreme and not in line with the available evidence. Specifically, we discuss two well-established counterexamples: Attention directly affects core aspects of visual processing, and multisensory modulations of vision originate on multiple levels, some of which are unlikely to fall "within perception."

Impacts of pollution derived from ship wrecks on the marine environment on the basis of s/s "Stuttgart" (Polish coast, Europe).

PubMed

Rogowska, Justyna; Wolska, Lidia; Namieśnik, Jacek

2010-11-01

In 1943 the German hospital ship s/s Stuttgart (Lazaretschiff "C") was sunk close to the port of Gdynia (Gulf of Gdańsk - Polish coast). This and other actions (undertaken after the war to remove the wreck) led to pollution of the sea bottom with oil derivatives. During our studies (2009) 11 surface sediment and water samples were collected as well as sediment core samples at 4 locations in order to determine the concentration levels of priority pollutants belonging to polycyclic aromatic hydrocarbons (PAH) and polychlorinated biphenyls (PCB). The concentrations of 16 PAH and 7 PCB were analysed with GC-MS. ΣPAH varied between 11.54 ± 0.39 and 206.7 ± 6.5mg/kg dry weight in the surface sediments, and from 0.686 ± 0.026 to 1291 ± 53 mg/kg dry weight in the core samples. Contamination in the core samples collected may reach a depth of at least 230-240 cm (deepest sample studied). The PAH-group profiles in all surface sediment samples suggest a pyrolytic source of PAH, while the results obtained for core samples indicate a mixed pattern of pyrolytic and petrogenic inputs of PAH. Results obtained may suggest also that fuel residues being present at sea bottom is not crude oil derived but results from coal processing (synthetic fuel). The sum of PCB in surface sediments ranged from 0.761 ± 0.068 to 6.82 ± 0.28 μg/kg dry weight (except for sampling point W2, where ΣPCB was 108.8 ± 4.4 μg/kg dry weight). The strong correlation between PAH and PCB levels, and the fact that PCB are present only in the surface sediments, suggest that the compounds in these sediments got there as a result of emission from urban areas, entering the aquatic environment via atmospheric deposition. PCB levels in the sediment core samples were generally very low and in most cases did not exceed the method quantification limit. Copyright © 2010 Elsevier B.V. All rights reserved.

Modeling of the Urban Heat Island (UHI) using WRF - Assessment of adaptation and mitigation strategies for the city of Stuttgart.

NASA Astrophysics Data System (ADS)

Fallmann, Joachim; Suppan, Peter; Emeis, Stefan

2013-04-01

Cities are warmer than their surroundings (called urban heat island, UHI). UHI influence urban atmospheric circulation, air quality, and ecological conditions. UHI leads to upward motion and compensating near-surface inflow from the surroundings which import rural trace substances. Chemical and aerosol formation processes are modified due to increased temperature, reduced humidity and modified urban-rural trace substance mixtures. UHIs produce enhanced heat stress for humans, animals and plants, less water availability and modified air quality. Growing cities and Climate Change will aggravate the UHI and its effects and urgently require adaptation and mitigation strategies. Prior to this, UHI properties must be assessed by surface observations, ground- and satellite-based vertical remote sensing and numerical modelling. The Weather Research and Forecasting Model (WRF) is an instrument to simulate and assess this phenomenon based on boundary conditions from observations and global climate models. Three urbanization schemes are available with WRF, which are tested during this study for different weather conditions in central Europe and will be enhanced if necessary. High resolution land use maps are used for this modeling effort. In situ measurements and Landsat thermal images are employed for validation of the results. The study will focus on the city of Stuttgart located in the south western part of Germany that is situated in a caldera-like orographic feature. This municipality has a long tradition in urban climate research and thus is well equipped with climatologic measurement stations. By using Geographical Information Systems (GIS), it is possible to simulate several scenarios for different surface properties. By increasing the albedo of roof and wall layers in the urban canopy model or by replacing urban land use by natural vegetation, simple urban planning strategies can be tested and the effect on urban heat island formation and air quality can be

27 CFR 9.205 - Chehalem Mountains.

Code of Federal Regulations, 2013 CFR

2013-04-01

... intersection with North Valley Road at the elevation point 202 near the Ewing Young School, section 39, T3S/R3W... back on the Scholls map in section 25 and 56, T1S/R3W, crossing Christensen Creek in section 35, T1S... four times, and Midway Road, and after crossing over and back on the Newberg map (crossing Heaton Creek...

27 CFR 9.205 - Chehalem Mountains.

Code of Federal Regulations, 2010 CFR

2010-04-01

... intersection with North Valley Road at the elevation point 202 near the Ewing Young School, section 39, T3S/R3W... back on the Scholls map in section 25 and 56, T1S/R3W, crossing Christensen Creek in section 35, T1S... four times, and Midway Road, and after crossing over and back on the Newberg map (crossing Heaton Creek...

27 CFR 9.205 - Chehalem Mountains.

Code of Federal Regulations, 2014 CFR

2014-04-01

... intersection with North Valley Road at the elevation point 202 near the Ewing Young School, section 39, T3S/R3W... back on the Scholls map in section 25 and 56, T1S/R3W, crossing Christensen Creek in section 35, T1S... four times, and Midway Road, and after crossing over and back on the Newberg map (crossing Heaton Creek...

27 CFR 9.205 - Chehalem Mountains.

Code of Federal Regulations, 2011 CFR

2011-04-01

... intersection with North Valley Road at the elevation point 202 near the Ewing Young School, section 39, T3S/R3W... back on the Scholls map in section 25 and 56, T1S/R3W, crossing Christensen Creek in section 35, T1S... four times, and Midway Road, and after crossing over and back on the Newberg map (crossing Heaton Creek...

27 CFR 9.205 - Chehalem Mountains.

Code of Federal Regulations, 2012 CFR

2012-04-01

... intersection with North Valley Road at the elevation point 202 near the Ewing Young School, section 39, T3S/R3W... back on the Scholls map in section 25 and 56, T1S/R3W, crossing Christensen Creek in section 35, T1S... four times, and Midway Road, and after crossing over and back on the Newberg map (crossing Heaton Creek...

Carving nature at its joints or cutting its effective loops? On the dangers of trying to disentangle intertwined mental processes.

PubMed

Goldstone, Robert L; de Leeuw, Joshua R; Landy, David H

2016-01-01

Attention is often inextricably intertwined with perception, and it is deployed not only to spatial regions, but also to sensory dimensions, learned dimensions, and learned complex configurations. Firestone & Scholl's (F&S)'s tactic of isolating visual perceptual processes from attention and action has the negative consequence of neglecting interactions that are critically important for allowing people to perceive their world in efficient and useful ways.

Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 10 : OR\\0x2010217 NB ramp flow & ML speed-flow plots.

DOT National Transportation Integrated Search

2008-12-01

The appendix includes various ramp flow and ML speed-flow plots: OR-217 NB, 72nd MP 6.61; OR-217 NB, 99W-EB MP 5.9; OR-217 NB, 99W-WB MP 5.85; OR-217 NB, Greenburg MP 4.65; OR-217 NB, Scholls MP 3.85; OR-217 NB, Denney MP 2.68; OR-217 NB, Allen MP 2....

Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 8 : OR\\0x2010217 NB ML speed\\0x2010occupancy plots.

DOT National Transportation Integrated Search

2008-12-01

The appendix includes various ML speed-occupancy plots: OR-217 NB, 72nd MP 6.61; OR-217 NB, 99W-EB MP 5.9; OR-217 NB, 99W-WB MP 5.85; OR-217 NB, Greenburg MP 4.65; OR-217 NB, Scholls MP 3.85; OR-217 NB, Denney MP 2.68; OR-217 NB, Allen MP 2.16; OR-21...

Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 7 : OR\\0x2010217 NB ML speed\\0x2010flow plots.

DOT National Transportation Integrated Search

2008-12-01

The appendix includes various ML speed-flow plots: OR-217 NB, 72nd MP 6.61; OR-217 NB, 99W-EB MP 5.9; OR-217 NB, 99W-WB MP 5.85; OR-217 NB, Greenburg MP 4.65; OR-217 NB, Scholls MP 3.85; OR-217 NB, Denney MP 2.68; OR-217 NB, Allen MP 2.16; OR-217 NB,...

Using archived ITS data to measure the operational benefits of a system-wide adaptive ramp metering system : appendix online 9 : OR\\0x2010217 NB ML flow\\0x2010occupancy plots.

DOT National Transportation Integrated Search

2008-12-01

The appendix includes various ML flow occupancy plots: OR-217 NB, 72nd MP 6.61; OR-217 NB, 99W-EB MP 5.9; OR-217 NB, 99W-WB MP 5.85; OR-217 NB, Greenburg MP 4.65; OR-217 NB, Scholls MP 3.85; OR-217 NB, Denney MP 2.68; OR-217 NB, Allen MP 2.16; OR-217...

Junior Army Officer Retention Intentions: A Path Analytic Model

DTIC Science & Technology

1991-07-01

theoretically useful only if they explain behavior that cannot be predicted within traditional expectancy and equity based motivational models. Scholl (1981), in...argue that long-tenured employees need to justify their behavioral commitment to the organization. They do this by developing more positive attitudes...good" to "very poor" scale to rate opportunities for intrinsic work satisfaction (learn/ develop skills, do interesting work, exercise initiative) in

Cancer Prevention and Control Research Manpower Development

DTIC Science & Technology

1999-10-01

An Intervention Study on Screening for Breast Cancer Among Single African-American women Aged 65 and Older , 2) Breast Cancer and Risk Factors Among...Intervention study on Screening for Breast Cancer Among Single African American Women Aged 65 and Older -DAMD17-96-1-6271 b. Breast Cancer and Risk Factors...Crippens, D., Scholl, D., Elder P . "Empirical Development of Brief Smoking Prevention Videotapes Which Target African American Adolescents

Measures of Effectiveness for Non-Lethal Weapons: Aligning Behavioral Experiments with Operational Success

DTIC Science & Technology

2015-01-01

the task effectiveness of the NLW, so that the value of the NLW to the warfighter can be extrapolated to other missions with similar tasks. At first...Kenny, J. M., Scholl, D., Murray, B., Farrer, D., Sokolowski, J., Dolan, D., Peters, D., McShea, L., & Finch , K. (2007). Establishing a framework to...3), 452–477. doi:10.1080/14702436.2012.703847 Rahimi, R., Borve, S., & Arnesen, O. H. (2013). Disrupting verbal communication with high-intensity

Dynamically Reconfigurable Microphone Arrays

DTIC Science & Technology

2011-05-01

from a number of different positions. In the second tests, the 2 wireless microphones were combined with a rigid binaural array on top of the b21r...Static + 2 Wireless Using only a standard computer sound card, a robot is limited to binaural inputs. Even when using wireless microphones, the audio...34 in HRI, Arlington, VA, 2007, pp. 113-120. [6] M. Heckmann, T. Rodemann, F. Joublin, C. Goerick, and B. Scholling, "Auditory Inspired Binaural

Headquarters, Special Operations Command, Africa Stuttgart, Germany (redacted)

DTIC Science & Technology

2016-08-09

appropriate throughout the report and provided a copy of management officials with this report. 20130205-012589 3 II. BACKGROUND On July 15, 2010,Com15...subject in the case. Accordingly, we did not consider RDML Losey a responsible management official in this report. Reduced Performance Award – Yes...AFRICOM Special Operations Instrnction] 1400.02, DoD FMR [Financial Management Re lation not cited and AFRICOM Policy Directives on Finding 4

Synthesis of Single and Double Dibenzohelicenes by Rhodium-Catalyzed Intramolecular [2+2+2] and [2+1+2+1] Cycloaddition.

PubMed

Yamano, Ryota; Shibata, Yu; Tanaka, Ken

2018-04-25

Dibenzo[7]helicenes were synthesized with up to 99 % ee by rhodium(I)/binap-catalyzed enantioselective intramolecular [2+2+2] cycloaddition of 2-phenylnaphthalene-linked triynes. Additionally, [2+1+2+1] cycloaddition products, that is, twisted anthracenes, were also synthesized by using difluorphos as ligand. Although these compounds are not configurationally stable at elevated temperature, their Scholl reactions afforded configurationally stable double dibenzo[6]helicenes. The thus-obtained dibenzo[7]helicene exhibited good circularly polarized luminescence property and the double dibenzo[6]helicene showed high fluorescence quantum yield. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

A field examination of two measures of work motivation as predictors of leaders' influence tactics.

PubMed

Barbuto, John E; Fritz, Susan M; Marx, David

2002-10-01

The authors tested 2 motivation measures, the Motivation Sources Inventory (MSI; J. E. Barbuto & R. W. Scholl, 1998) and the Job Choice Decision-Making Exercise (A. M. Harrell & M. J. Stahl, 1981) as predictors of leaders' influence tactics. The authors sampled 219 leader-member dyads from a variety of organizations and communities throughout the central United States. Results strongly favored the MSI as a predictor of influence tactics. Limitations of the study include low power of relationships, sample size as limited by the research design, and education levels of participants. Future researchers should use larger and more diverse samples and test other relevant antecedents of leaders' behaviors.

A research update for the Stuttgart National Aquaculture Research Center

USDA-ARS?s Scientific Manuscript database

Aquaculture (fish farming) has played an ever-increasing role in providing people with fish, shrimp, and shellfish. Aquaculture is currently the fastest growing sector of global food production and in 2016 totaled 90 million tons valued at $180 billion. The production of food-fish from aquaculture...

A Research Update for the Stuttgart National Aquaculture Research Center

USDA-ARS?s Scientific Manuscript database

Aquaculture (fish farming) has played an ever-increasing role in providing people with fish, shrimp, and shellfish. Aquaculture is currently the fastest growing sector of global food production and in 2014 totaled 80 million tons valued at $140 billion. The production of food-fish from aquaculture...

Synthesis of Benzo[a]carbazoles and an Indolo[2,3-a]carbazole from 3-Aryltetramic Acids.

PubMed

Truax, Nathanyal J; Banales Mejia, Fernando; Kwansare, Deborah O; Lafferty, Megan M; Kean, Maeve H; Pelkey, Erin T

2016-08-05

A simple and flexible approach to 3-pyrrolin-2-one fused carbazoles is disclosed. The key step involves the BF3-mediated electrophilic substitution of indoles with N-alkyl-substituted 3-aryltetramic acids, which provides access to indole-substituted 3-pyrrolin-2-ones. Scholl-type oxidative cyclizations of these materials led to the formation of the corresponding 3-pyrrolin-2-one-fused benzo[a]carbazoles and indolo[2,3-a]carbazoles. This work represents the first synthesis of the benzo[a]pyrrolo[3,4-c]carbazol-3(8H)-one ring system, while the indolo[2,3-a]pyrrolo[3,4-c]carbazol-5-one ring system is found in a number of biologically active compounds including the protein kinase C (PKC) inhibitor, staurosporine.

A history of the Fish Farming Experimental Laboratory in Stuttgart, Arkansas and the transfer to the USDA/ARS Harry K. Dupree - Stuttgart National Aquaculture Research Center

USDA-ARS?s Scientific Manuscript database

In 1958, Congress enacted the Fish Rice Rotation Act that directed the Secretary of the Interior (in cooperation with USDA) to develop a program to solve problems related to production and harvest of warmwater fish. The idea was to establish a program to grow fish on flooded rice acreage in rotatio...

The what-where trade-off in multiple-identity tracking.

PubMed

Cohen, Michael A; Pinto, Yair; Howe, Piers D L; Horowitz, Todd S

2011-07-01

Observers are poor at reporting the identities of objects that they have successfully tracked (Pylyshyn, Visual Cognition, 11, 801-822, 2004; Scholl & Pylyshyn, Cognitive Psychology, 38, 259-290, 1999). Consequently, it has been claimed that objects are tracked in a manner that does not encode their identities (Pylyshyn, 2004). Here, we present evidence that disputes this claim. In a series of experiments, we show that attempting to track the identities of objects can decrease an observer's ability to track the objects' locations. This indicates that the mechanisms that track, respectively, the locations and identities of objects draw upon a common resource. Furthermore, we show that this common resource can be voluntarily distributed between the two mechanisms. This is clear evidence that the location- and identity-tracking mechanisms are not entirely dissociable.

Cognitive Penetration and Attention

PubMed Central

Gross, Steven

2017-01-01

Zenon Pylyshyn argues that cognitively driven attentional effects do not amount to cognitive penetration of early vision because such effects occur either before or after early vision. Critics object that in fact such effects occur at all levels of perceptual processing. We argue that Pylyshyn’s claim is correct—but not for the reason he emphasizes. Even if his critics are correct that attentional effects are not external to early vision, these effects do not satisfy Pylyshyn’s requirements that the effects be direct and exhibit semantic coherence. In addition, we distinguish our defense from those found in recent work by Raftopoulos and by Firestone and Scholl, argue that attention should not be assimilated to expectation, and discuss alternative characterizations of cognitive penetrability, advocating a kind of pluralism. PMID:28275358

Preliminary investigation on the deformation rates of the Nazimiye Fault (Eastern Turkey)

NASA Astrophysics Data System (ADS)

Sançar, Taylan

2016-04-01

The complex tectonic setting of the eastern Mediterranean is mainly shaped by the interaction between three major plates, Eurasian, African, and Arabian plates, with additional involvement from the smaller Anatolian Scholle. The internal deformation of the Anatolian Scholle is mainly accommodated along NW-striking dextral and NE-striking sinistral faults, which are explained by the Prandtl Cell model by Şengör (1979). Although some of these strike-slip faults, such as Tuzgölü, Ecemiş and Malatya-Ovacık faults, have long been documented, the Nazimiye Fault (NF) is only presented in very recent studies (Kara et al. 2013; Emre et al. 2012). The aim of the study is to understand intra-plate deformation of the Anatolian Scholle, by studying the morphotectonic structures along the NF. The study area located close to the eastern boundary of Anatolia, roughly on the wedge that is delimited by the North and East Anatolian shear zones and the Malatya-Ovacık Fault Zone. After the preliminary remote sensing analyses and field observations, I mapped the locations of the different terrace treads along the Pülümür River, which is strongly deflected by the activity of the NF. This dextral strike-slip fault, is not only characterized with the deformation of the Pülümür River, but also it shows many beheaded streams, pressure ridges, hot springs and travertines along its course. I sampled one of the alluvial fans for cosmogenic dating at the eastern section of the NF, where about 20 m of dextral offset was measured at the margins of the incised stream. Moreover, additional sampling was performed from different terrace levels along the Pülümür River, in order not only to estimate the min. horizontal rate, but also to quantify the vertical deformation. Moreover, I applied morphometric indices to understand the tectonic control on the local morphology along the NF. Transverse Topographic Symmetry Factor was used to show the relative degree of tectonic activity along the

Prescription drug therapy in the podiatric outpatient population: interactions and precautions.

PubMed

Dickinson, B D; Alley, P; Price, T W; Simeone, L A

1988-04-01

A survey of 2,000 outpatients at the clinic of the Dr. William M. Scholl College of Podiatric Medicine was conducted analyzing both medications reported by the patients at the time of treatment and drugs by the attending podiatrist. The major groups of medications already used by the patients included diuretics, vitamins and minerals, nonsteroidal antiinflammatory drugs, cardiovascular medications, insulin and oral hypoglycemics, estrogen and thyroid hormone replacement, and antibiotics. Patients with asthma, ulcers, epilepsy, affective disorders and Parkinsonism represented significant subgroups. The major drugs used by podiatrists in the outpatient clinic included analgesics and antiinflammatory agents, local anesthetics, antibiotics, sedative-hypnotics, and a variety of topical agents. These two sources of medication serve as the basis for a review of drug interactions in the podiatric outpatient population. In addition, precautions for the use of drugs commonly administered by podiatrists are reviewed.

Rotordynamic Instability Problems in High-Performance Turbomachinery. Proceedings of a Workshop (1st) Held at Texas A&M University, College Station, Texas, May 12-14, 1980.

DTIC Science & Technology

1980-08-01

Vibrations Stimulated by Lateral Forces in Sealing Gaps," In German, Institut ffir Thermische Str ~mungsmaschinen, Unwersitat Stuttgart. 26. Warner, R. E...investigations at the "Institut fOr Thermische Str ~mungsmaschinen at the Uni- versity of Stuttgart" are performed. This is done with the aim to point out the...Eigenschwingungen von Turbinenlaufern, angefacht durch die Spaltstr~ mung in Stopfbuchsen und Beschauflungen. Bull. de l’AIM 71 (1958) pp. 1039-1063 4

Stable isotope (δ18O and δ2H) data for precipitation, stream water, and groundwater in Puerto Rico

USGS Publications Warehouse

Scholl, Martha A.; Torres-Sanchez, Angel; Rosario-Torres, Manuel

2014-01-01

, hurricanes, and cold fronts, although frequent low-intensity orographic showers occur throughout the year in the mountains. The stable isotope signatures of rainfall (δ2H and δ18O) are broadly correlated with the weather type that produced the rainfall (Scholl and others, 2009; Scholl and Murphy, 2014).

Optimizing distance-based methods for large data sets

NASA Astrophysics Data System (ADS)

Scholl, Tobias; Brenner, Thomas

2015-10-01

Distance-based methods for measuring spatial concentration of industries have received an increasing popularity in the spatial econometrics community. However, a limiting factor for using these methods is their computational complexity since both their memory requirements and running times are in {{O}}(n^2). In this paper, we present an algorithm with constant memory requirements and shorter running time, enabling distance-based methods to deal with large data sets. We discuss three recent distance-based methods in spatial econometrics: the D&O-Index by Duranton and Overman (Rev Econ Stud 72(4):1077-1106, 2005), the M-function by Marcon and Puech (J Econ Geogr 10(5):745-762, 2010) and the Cluster-Index by Scholl and Brenner (Reg Stud (ahead-of-print):1-15, 2014). Finally, we present an alternative calculation for the latter index that allows the use of data sets with millions of firms.

The three principal secular resonances nu(5), nu(6), and nu(16) in the asteroidal belt

NASA Astrophysics Data System (ADS)

Froeschle, Ch.; Scholl, H.

1989-09-01

Theoretical and numerical results obtained for secular resonant motion in the asteroidal belt are reviewed. William's (1969) theory yields the locations of the principal secular resonances nu(5), Nu(6), and nu(16) in the asteroidal belt. Theories by Nakai and Kinoshita (1985) and by Yoshikawa (1987) make it possible to model the basic features of orbital evolution at the secular resonances nu(16) and nu(6), respectively. No theory is available for the secular resonance nu(5). Numerical experiments by Froeschle and Scholl yield quantitative and new qualitative results for orbital evolutions at the three principal secular resonances nu(5), nu(6), and nu(16). These experiments indicate possible chaotic motion due to overlapping resonances. A secular resonance may overlap with another secular resonance or with a mean motion resonance. The role of the secular resonances as possible sources of meteorites is discussed.

Propulsion and Energetics Panel Working Group 23 on Guide to the Measurement of the Transient Performance of Aircraft Turbine Engines and Components (Guide pour la mesure des performances en transitoire des turbomachines Aeronautiques et de leurs composants)

DTIC Science & Technology

1994-03-01

Oft-«) D-mt) Munich 50 Prof. Dring. Wolfgang Braig Universität Stuttgart Institut für Luftfahrtantriebe Pfaffenwaldring 6 D-7000 Stuttgart 80...Symposium, May, 1977. 3.20 MQff»t,R.J., Designing Thermocouples for Response Rate, ASME Paper No. 57-CTP-8. 3.21 Glawe, G.E., Holanda, R., and Krause ...Science and Industry, Vol.3, Part 2, 1962. 4.3.3 Glawe, G.E., Holanda, R., Krause , L.N., Recovery and Radiation Corrections and Time Constants of

Parallel computational fluid dynamics '91; Conference Proceedings, Stuttgart, Germany, Jun. 10-12, 1991

NASA Technical Reports Server (NTRS)

Reinsch, K. G. (Editor); Schmidt, W. (Editor); Ecer, A. (Editor); Haeuser, Jochem (Editor); Periaux, J. (Editor)

1992-01-01

A conference was held on parallel computational fluid dynamics and produced related papers. Topics discussed in these papers include: parallel implicit and explicit solvers for compressible flow, parallel computational techniques for Euler and Navier-Stokes equations, grid generation techniques for parallel computers, and aerodynamic simulation om massively parallel systems.

Crystalline Hybrid Polyphenylene Macromolecules from Octaalkynylsilsesquioxanes, Crystal Structures, and a Potential Route to 3-D Graphenes

DOE Office of Scientific and Technical Information (OSTI.GOV)

Roll, Mark F.; Kampf, Jeffrey W.; Laine, Richard M.

2011-05-10

We report here the Diels–Alder reaction of octa(diphenylacetylene)silsesquioxane [DPA₈OS] with tetraphenylcyclopentadienone or tetra(p-tolyl)cyclopentadienone to form octa(hexaphenylbenzene)octasilsesquioxane, (Ph₆C₆)₈OS, or octa(tetratolyldiphenylbenzene)octasilsesquioxane, (p-Tolyl₄Ph₂C₆)₈OS. Likewise, tetra(p-tolyl)cyclopentadienone reacts with octa(p-tolylethynylphenyl)OS to form octa(pentatolylphenylbenzene)octasilsesquioxane (p-Tolyl₅PhC₆)₈OS. These compounds, with molecular weights of 4685–5245 Da, were isolated and characterized using a variety of analytical methods. The crystal structure of DPA₈OS offers a 3 nm³ unit cell with Z = 1. The crystal structure of (Ph₆C₆)₈OS was determined to have a triclinic unit cell of 11 nm³ with Z = 1. The latter structure is believed to be the largest discrete molecular structure reported with 330 carbons. Efforts tomore » dehydrogenatively cyclize (Scholl reaction) the hexaarylbenzene groups to form 3-D octgraphene compounds are described.« less

Ground Surface Deformation in Unconsolidated Sediments Caused by Bedrock Fault Movements: Dip-Slip and Strike-Slip Fault Model Test and Field Survey

NASA Astrophysics Data System (ADS)

Ueta, K.; Tani, K.

2001-12-01

shears and pressure ridges, and left-stepping and right-stepping pressure ridges are observed. d) With displacement concentrated on the central throughgoing fault zone, a "Zone of shear band" (ZSB) developed directly above the basement fault. The geometry of the ZSB shows a strong resemblance to linear ridge and trough geomorphology associated with active strike-slip faulting. (3) In the case of normal faulting, the location of the surface fault rupture is just above the bedrock faults, which have no relationship with the fault dip. On the other hand, the location of the surface rupture of the reverse fault has closely relationship with the fault dip. In the case of strike-slip faulting, the width of the deformation zone in dense sand is wider than that in loose sand. (4) The horizontal distance of surface rupture from the bedrock fault normalized by the height of sand mass (W/H) does not depend on the height of sand mass and grain size of sand. The values of W/H from the test agree well with those of earthquake faults. (5) The normalized base displacement required to propagate the shear rupture zone to the ground surface (D/H), in the case of normal faulting, is lower than those for reverse faulting and strike-slip faulting.

SURFACTANT-ENHANCED EXTRACTION TECHNOLOGY EVALUATION VERSUCHSEININCHTUNG ZUR GRUNDWASSER-UND ALTLASTENSANIERUNG (VEGAS) FACILITY, STUTTGART, GERMANY

EPA Science Inventory

This innovative technology evaluation report (ITER) summarized the results of an evaluation of a surfactant-enhanced extraction technology. This evaluation was conducted under a bilateral agreement between the United States (U.S.) Environmental Protection Agency (EPA) Superfund ...

[Sixty years ago, cell cultures finally permitted the poliomyelitis virus to multiply easily].

PubMed

Chastel, Claude

2009-01-01

In 1949, three American virologists, John F. Enders, Thomas H. Weller and Frederick C. Robbins, from the Harvard Medical Scholl and working at the Children's Medical Centre, Boston, Mass., have provoked a true revolution in Virology. Here, they have succeeded in readily multiplying the three poliomyelitis viruses in vitro, in non-nervous cells cultures. A few years afterwards (1954), they were collectively honoured by the Nobel Prize of Physiology and Medicine. This discovery not only has quickly led to the production of efficient poliomyelitis vaccines (J. E. Salk, 1953; A. B. Sabin, 1955) but also has permitted to easily isolate a number of already known viruses (measles, rubella, mumps, herpes simplex and herpes zoster) or until then totally unknown viruses (adenovirus, echovirus, cytomegalovirus). These progresses have significantly contributed to improve diagnosis, sanitary surveillance and vaccinal prophylaxis of human and animal viral diseases. Moreover, the cells cultures techniques have also benefited to other domains of fundamental Biology, such as cellular biology, genetics, cancerology, biology of the reproduction and regenerative medicine as well.

EAST/SeSAME syndrome - review of the literature and introduction of four new Latvian patients.

PubMed

Marta, C; Ieva, M; Inna, I; Mareta, A; Sandra, K; Pereca, J; Janis, S; Dita, P; Jurgis, S

2018-05-03

EAST (Epilepsy, Ataxia, Sensorineural deafness, Tubulopathy) or SeSAME (Seizures, Sensorineural deafness, Ataxia, Mental retardation, and Electrolyte imbalance) syndrome is a rare autosomal recessive syndrome first described in 2009 independently by Bockenhauer and Scholl. It is caused by mutations in KCNJ10, which encodes Kir4.1, an inwardly rectifying K + channel found in the brain, inner ear, kidney and eye. To date, 16 mutations in at least 28 patients have been reported. In this paper, we review mutations causing EAST/SeSAME syndrome, clinical manifestations in detail, and efficacy of treatment in previously reported patients. We also report a new Latvian kindred with four patients. In contrast to the majority of previous reports, we found a progressive course of the disorder in terms of hearing impairment and neurologic deficit. The treatment is based on antiepileptic drugs, electrolyte replacement, hearing aids and mobility devices. Future research should concentrate on recognizing the lesions in the central nervous system to evaluate new potential diagnostic criteria and on formally evaluating intellectual disability. This article is protected by copyright. All rights reserved.

Stuttgart Germany/Echterdingen Apt. Revised Uniform Summary of Surface Weather Observations (RUSSWO). Parts A-F

DTIC Science & Technology

1972-10-31

31 8 ~ BPP : A2’- 63 -Z/ -ei z&3e i - - - ’ i i ’ i : i : i" _ _ _ _’ ri i I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , i ! a Z , I 1 N i Rol H.. 8 = tu I 175...MEANS AND STANDARD DEVIATIO’ I -C -P 4- S4 _ - "-2 / C-T -g_ 3 , Nb" , ’, HRS T JAN f e MA2 AP MA y JUN JUt AUG SEP O( NO%, DEC ANNUA

A Porous Aromatic Framework Constructed from Benzene Rings Has a High Adsorption Capacity for Perfluorooctane Sulfonate

PubMed Central

Luo, Qin; Zhao, Changwei; Liu, Guixia; Ren, Hao

2016-01-01

A low-cost and easily constructed porous aromatic framework (PAF-45) was successfully prepared using the Scholl reaction. PAF-45 was, for the first time, used to remove perfluorooctane sulfonate (PFOS) from aqueous solution. Systematic experiments were performed to determine the adsorption capacity of PAF-45 for PFOS and to characterize the kinetics of the adsorption process. The adsorption of PFOS onto PAF-45 reached equilibrium in 30 min, and the adsorption capacity of PAF-45 for PFOS was excellent (5847 mg g−1 at pH 3). The amount of PFOS adsorbed by PAF-45 increased significantly as the cation (Na+, Mg2+, or Fe3+) concentration increased, which probably occurred because the cations enhanced the interactions between the negatively charged PFOS molecules and the positively charged PAF-45 surface. The cations Na+, Mg2+, and Fe3+ were found to form complexes with PFOS anions in solution. Density functional theory was used to identify the interactions between PFOS and Na+, Mg2+, and Fe3+. We expect that materials of the same type as PAF-45 could be useful adsorbents for removing organic pollutants from industrial wastewater and contaminated surface water. PMID:26843015

A Porous Aromatic Framework Constructed from Benzene Rings Has a High Adsorption Capacity for Perfluorooctane Sulfonate.

PubMed

Luo, Qin; Zhao, Changwei; Liu, Guixia; Ren, Hao

2016-02-04

A low-cost and easily constructed porous aromatic framework (PAF-45) was successfully prepared using the Scholl reaction. PAF-45 was, for the first time, used to remove perfluorooctane sulfonate (PFOS) from aqueous solution. Systematic experiments were performed to determine the adsorption capacity of PAF-45 for PFOS and to characterize the kinetics of the adsorption process. The adsorption of PFOS onto PAF-45 reached equilibrium in 30 min, and the adsorption capacity of PAF-45 for PFOS was excellent (5847 mg g(-1) at pH 3). The amount of PFOS adsorbed by PAF-45 increased significantly as the cation (Na(+), Mg(2+), or Fe(3+)) concentration increased, which probably occurred because the cations enhanced the interactions between the negatively charged PFOS molecules and the positively charged PAF-45 surface. The cations Na(+), Mg(2+), and Fe(3+) were found to form complexes with PFOS anions in solution. Density functional theory was used to identify the interactions between PFOS and Na(+), Mg(2+), and Fe(3+). We expect that materials of the same type as PAF-45 could be useful adsorbents for removing organic pollutants from industrial wastewater and contaminated surface water.

ARC-2010-ACD10-0242-022

NASA Image and Video Library

2010-12-17

German Deligation visits Ames SOFIA Science Office for briefing. Left to right Jochen Homann, German State Secretary Federal Ministry of Economics and Technology, and Manuel Wiedemann, post-doctorate student from the Deutsches SOFIA Institute, University of Stuttgart.

Symposium Gyro Technology 1984; Proceedings of the Symposium, Universitaet Stuttgart, West Germany, September 11, 12, 1984

NASA Astrophysics Data System (ADS)

Sorg, H.

Among the topics discussed are: drift and scale factor tests on the SEL fiber gyro; integrated optical rate sensor development; and the beam geometry of a ring laser gyro in relation to its performance. Consideration is also given to: a fast filtering technique for measuring random walk in a laser gyro; vibratory gyroscopic sensors; a redundant strapdown reference for advanced aircraft flight control systems; and a low-cost piezoelectric rate/acceleration sensor. Additional topics include: an inertial guidance system for a Low-Earth-Orbit (LEO) vehicle; and signal disturbance effects in a strapdown northfinder.

Water hardness influences Flavobacterium columnare pathogenesis in channel catfish

USDA-ARS?s Scientific Manuscript database

Studies were conducted to determine aspects of water chemistry responsible for large differences in pathogenesis and mortality rates in challenges of channel catfish Ictalurus punctatus with Flavobacterium columnare; challenges were conducted in water supplying the Stuttgart National Aquaculture Res...

Video-assisted repair of cervical lung hernia.

PubMed

Zhang, P; Jiang, G; Xie, B; Ding, J

2010-04-01

Lung hernia is an extremely rare condition and the treatments vary. We report a case of cervical lung hernia without any trauma. The patient underwent video-assisted repair with a satisfactory result. Georg Thieme Verlag KG Stuttgart New York.

[Book review] Fish immunology, edited by M. J. Manning and M. F. Tatner

USGS Publications Warehouse

Griffin, B.R.

1986-01-01

Review of: Fish Immunology. Edited by M. J. Manning and M. F. Tatner. Academic Press, London. 1985. 374 pages. $32.50. Reviewed by B. R. Griffin, Fish Farming Experimental Station, U.S. Fish and Wildlife Service, Stuttgart, Arkansas 72160, USA.

[Spectral-Doppler-Sonography - Step by Step].

PubMed

Bönhof, Leoni; Steffgen, Ludwig; Bönhof, Jörg

2018-06-07

Step by step explanation and detailed overview of the correct approach to spectral-Doppler-sonography, including several practical examples. The article provides comprehensive explanations of the appropriate settings in different situations. © Georg Thieme Verlag KG Stuttgart · New York.

[Writing for the HaMiPla].

PubMed

Prommersberger, K-J; Giunta, R E

2012-10-01

This paper describes from the editors' perspective step-by-step how to configure and write a manuscript for the Handchirurgie Mikrochirurgie Plastische Chirurgie with the goal to make a successful and quick publication easier. © Georg Thieme Verlag KG Stuttgart · New York.

[Health, illnes and higiene in the boarding schools. the case of the salesian arts and craft scholl of Córdoba. 1905 - 1930].

PubMed

Moretti, Nicolás

2017-01-01

The following article asks about the speeches, practices, representations and experiences on health, hygiene and illnes in boarding schools early last century, taking for instance the School of Arts and Crafts of the Salesian Congregation, with the intention of revisiting the dialogue between medicine, hygiene and school in the context of development of the social question, the result of accelerated modernization process experienced by the city of Córdoba.

[Integrated health service research of the epiphenomenon (IVF-E)--paradigm shift or Dölle's wine in new skins?].

PubMed

Herzog, Wolfgang

2011-08-01

The meaning of epiphenomenalism for psychosomatic medicine and psychotherapy is analyzed. It may be concluded that Ernst-August Dölle was one of the first researchers to describe and to use the Alpha and Omega of epiphenomenalism. Georg Thieme Verlag KG Stuttgart · New York.

Curriculum Development in Arkansas' Largest Vo-Ag Department

ERIC Educational Resources Information Center

Ashlock, Anthony

1977-01-01

Six new vocational agriculture curriculum guides which are being developed at Stuttgart High School in Arkansas will cover the following instructional areas: soybean and rice production, horticulture, farm buildings design and layout, agriculture metal working, agricultural farm building and structures, and farm machinery. (BM)

The EFSUMB Guidelines and Recommendations for the Clinical Practice of Contrast-Enhanced Ultrasound (CEUS) in Non-Hepatic Applications: Update 2017 (Short Version).

PubMed

Sidhu, Paul S; Cantisani, Vito; Dietrich, Christoph F; Gilja, Odd Helge; Saftoiu, Adrian; Bartels, Eva; Bertolotto, Michele; Calliada, Fabrizio; Clevert, Dirk-André; Cosgrove, David; Deganello, Annamaria; D'Onofrio, Mirko; Drudi, Francesco Maria; Freeman, Simon; Harvey, Christopher; Jenssen, Christian; Jung, Ernst-Michael; Klauser, Andrea Sabine; Lassau, Nathalie; Meloni, Maria Franca; Leen, Edward; Nicolau, Carlos; Nolsoe, Christian; Piscaglia, Fabio; Prada, Francesco; Prosch, Helmut; Radzina, Maija; Savelli, Luca; Weskott, Hans-Peter; Wijkstra, Hessel

2018-04-01

The updated version of the EFSUMB guidelines on the application of non-hepatic contrast-enhanced ultrasound (CEUS) deals with the use of microbubble ultrasound contrast outside the liver in the many established and emerging applications. © Georg Thieme Verlag KG Stuttgart · New York.

Rice diversity panels available through the genetic stocks oryza collection

USDA-ARS?s Scientific Manuscript database

The Genetic Stocks Oryza (GSOR) Collection was established in 2004 at the USDA-ARS, Dale Bumpers National Rice Research Center (DBNRRC) located in Stuttgart, AR. The mission of GSOR is to provide unique genetic resources to the rice research community for genetic and genomics related research. GSOR ...

[Gene therapy in Germany: from past to present].

PubMed

Kim, Young; Schmidt-Wolf, Ingo G H

2015-04-01

In 1994, the first clinical gene therapy trial was performed in Germany. Since then more than 2000 clinical gene therapy trials have been performed worldwide. After 20 years, a short résumé is drawn here. © Georg Thieme Verlag KG Stuttgart · New York.

Field evaluation of four spatial repellent devices against Arkansas rice-land mosquitoes

USDA-ARS?s Scientific Manuscript database

Four commercially available spatial repellent devices were tested in a rice land habitat near Stuttgart, Arkansas after semi-field level assessments had been made at the Center for Medical, Agricultural, and Veterinary Entomology, ARS, USDA in Gainesville, FL. OFF! Clip-On® (a.i. metofluthrin, S.C....

[On the astrology and computation in the 12th century: new unpublished manuscripts ].

PubMed

Caiazzo, Irene

2012-01-01

This article examines three so far unknown lemmatic commentaries on computus and on astrolabe topics, which are to be found in MS Stuttgart, Württembergische Landesbibliothek, Cod. math. 4 degrees 33 (second half of the twelfth-century). The commentaries are on the 'Compotus' by Gerlandus, on the 'De mensura astrolabii' by Hermann of Reichenau, and on the 'De utilitatibus astrolabii', which is sometimes attributed to Gerbert of Aurillac. No commentaries on the respective treatises have previously been identified as such. The commentaries of the Stuttgart manuscript are of special interest in that they allow us to understand how a twelfth-century scholar read works on computus and the astrolabe, namely works that date back to the eleventh century. Their author remains anonymous, but in all probability he wrote his commentary on the 'Compotus' by Gerlandus either in 1143 or in 1150. An appendix to the article includes transcriptions of the introductory texts on the computus and on the astrolabe as well as the beginnings of the commentaries.

Causal capture effects in chimpanzees (Pan troglodytes).

PubMed

Matsuno, Toyomi; Tomonaga, Masaki

2017-01-01

Extracting a cause-and-effect structure from the physical world is an important demand for animals living in dynamically changing environments. Human perceptual and cognitive mechanisms are known to be sensitive and tuned to detect and interpret such causal structures. In contrast to rigorous investigations of human causal perception, the phylogenetic roots of this perception are not well understood. In the present study, we aimed to investigate the susceptibility of nonhuman animals to mechanical causality by testing whether chimpanzees perceived an illusion called causal capture (Scholl & Nakayama, 2002). Causal capture is a phenomenon in which a type of bistable visual motion of objects is perceived as causal collision due to a bias from a co-occurring causal event. In our experiments, we assessed the susceptibility of perception of a bistable stream/bounce motion event to a co-occurring causal event in chimpanzees. The results show that, similar to in humans, causal "bounce" percepts were significantly increased in chimpanzees with the addition of a task-irrelevant causal bounce event that was synchronously presented. These outcomes suggest that the perceptual mechanisms behind the visual interpretation of causal structures in the environment are evolutionarily shared between human and nonhuman animals. Copyright © 2016 Elsevier B.V. All rights reserved.

[Stress after labour - significance for maternal health behaviour].

PubMed

Grieshop, M; Schücking, B

2012-04-01

Maternal stress and lack of social support in the postpartum period have a negative impact on health behaviour of new mothers. Midwives can enhance mother's coping with stress and improve their social support by early interventions in postpartum care. © Georg Thieme Verlag KG Stuttgart · New York.

[Health and Prevention Behaviour of Persons with and without Migration Background].

PubMed

Walter, U; Bisson, S; Gerken, U; Machleidt, W; Krauth, C

2015-09-01

Based on a sample of the Hannover registration office this project analyses the health and prevention behaviour of Russian- and Turkish-language migrants compared to natives. The project analysis revealed considerable differences, particularly concerning addiction behaviour and physical activities. © Georg Thieme Verlag KG Stuttgart · New York.

Anti-Armor Defense Data Study (A2D2). Phase 2. Volume 4. US Anti-Tank Defense at Krinkelt-Rocherath, Belgium (December, 1944)

DTIC Science & Technology

1991-02-15

Geschicbte der Stammdivision der Waffen -SS, Band V: 194 -1945. Osnabruck: Munln-Verlag, 1982. (Includes translation) (Stuttgart] 105 Weidinger, Otto, ed...1960. C -68 Weidinger, Otto. Division Das Reich. Der Weg der 2.SS Panzer-Division "Das Reich". Die Geschichte der Stammdivision der Waffen -SS, Band

ARC-2010-ACD10-0242-021

NASA Image and Video Library

2010-12-17

German Deligation visits Ames SOFIA Science Office for briefing. Left to right Jochen Homann, German State Secretary Federal Ministry of Economics and Technology, Dr. Benno Bunse, President & CEO, German American Chamber of Commerce, New York, Manuel Wiedemann, post-doctorate student from the Deutsches SOFIA Institute, University of Stuttgart.

Nitrogen cycling under alternate wetting and drying cycles in Arkansas rice

USDA-ARS?s Scientific Manuscript database

Alternate wetting and drying (AWD) cycles offer potential savings in water use for paddy rice production while reducing both greenhouse gas emissions and lowering grain arsenic content. In a three-year (2011-2013) field study near Stuttgart, AR, one-third of a field previously grown to soybean was b...

Prevention of edema, flight microangiopathy and venous thrombosis in long flights with elastic stockings. A randomized trial: The LONFLIT 4 Concorde Edema-SSL Study.

PubMed

Belcaro, Gianni; Cesarone, Maria Rosaria; Shah, Sandeep S G; Nicolaides, Andrew N; Geroulakos, George; Ippolito, Edmondo; Winford, Michelle; Lennox, Andrew; Pellegrini, Luciano; Brandolini, Rossella; Myers, Kenneth A; Simeone, Emilio; Bavera, Peter; Dugall, Mark; Di Renzo, Andrea; Moia, Marco

2002-01-01

The LONFLIT1/2 studies have established that in high-risk subjects after long (> 10 hours) flights the incidence of deep venous thrombosis (DVT) is between 4% and 6%. The LONFLIT4 study has been planned to evaluate the control of edema and DVT in low-medium-risk subjects. The aim of this study was to evaluate edema and its control with specific flight stockings, in long-haul flights. In the first part of the study 400 subjects at low-medium risk for DVT were contacted; 28 were excluded for several nonmedical problems; 372 were randomized into 2 groups to evaluate prophylaxis with stockings in 7-8-hour flights; the control group had no prophylaxis. Below-knee, Scholl, Flight Socks, producing 14-17 mm Hg of pressure at the ankle, were used in the treatment group. The occurrence of DVT was evaluated with high-resolution ultrasound scanning (femoral, popliteal, and tibial veins). Edema was assessed with a composite score based on parametric and nonparametric measurements. Part II: In this part of the study 285 subjects at low-medium risk for DVT were included and randomized into 2 groups to evaluate edema prophylaxis in 11-12-hour flights; the controls had no prophylaxis while the prevention group had below-knee, Scholl, Flight Socks (comparable to part I). Part 1: DVT evaluation. Of the 184 included subjects in the stockings group and 188 in the control group, 358 (96.2%) completed the study. Dropouts were due to compliance or connection problems. Age/sex distributions were comparable in the groups. Stockings Group: of 179 subjects (mean age 49; SD 7; M:F = 101:78), none had DVT or superficial thromboses. of 179 subjects (mean age 48.4; SD 7.3; M:F = 98:81), 4 (2.2%) had a DVT. There were also 2 superficial thromboses. In total, 3.35% (6) subjects had a thrombotic event. The difference (p<0.002) is significant. Intention-to-treat analysis detects 15 failures in the control group (9 lost + 6 thromboses) out of 188 subjects (7.9%) versus 5 subjects (2.7%) in the

Proceedings of Colloquium 110 of the International Astronomical Union on Library and Information Services in Astronomy Held in Washington, DC on 26 July- 1 August 1988

DTIC Science & Technology

1989-01-01

executive overview, IBM System Service, Stuttgart. 2. Doyen, P., 1987. Analyse d’opportunite et aspects fonctionnels d’une gestion integree par un systeme...Inst. di Astron. Tucson, AZ 85726-6732 Campus do Vale Citta. Universitaria 90049 Porto Alegre RS Viale A. Doris Mo. Vagiawari Alladi BRAZIL 1-95125

Germany As We Saw It. Third Edition, 1963.

ERIC Educational Resources Information Center

Stanford Univ., CA.

Closeup studies of German life in the Stuttgart area are reported here by 79 participants of Stanford University's 1963 National Defense Education Act Second-Level Institute for Elementary and Secondary School Teachers held at Bad Boll, Germany. Elementary and secondary education, work and family life, and housing and housing developments are…

Lecture and Tutorial via the Internet - Experiences from a Pilot Project Connecting Five Universities.

ERIC Educational Resources Information Center

Wulf, Volker; Schinzel, Britta

This paper reports on a pilot project in which German universities in Freiburg, Constance, Mannheim, Stuttgart, and Ulm connected computer science departments via the Internet for a summer 1997 telelecture and teletutorial on computers and society. The first section provides background on telelearning and introduces the case study. The second…

Synthesis of Conjugated Small Molecules and Polymers by a Palladium Catalyzed Cyclopentannulation Strategy: Towards New Organic Semiconductors

NASA Astrophysics Data System (ADS)

Bheemireddy, Sambasiva Reddy

The utility of conjugated small molecules and polymers as organic semiconductors have seen a tremendous growth in research and development in academia as well as industry because of their processability and flexibility advantages in comparison to inorganic semiconductors. The extensive research over the years has produced a large number of p-type (hole conducting) and n-type (electron conducting) semiconductors that can be used to construct organic electronic devices. Of these materials, p-type semiconductors are more established and extensively studied because of the ease of preparation as well as their better general stability in comparison to n-type materials. Despite recent research into the development of n-type materials, fullerene (C60 and C 70) and its derivatives are still the predominant materials used as electron acceptors for OPV applications. By taking advantage of the electron accepting behavior of cyclopenta[hi]aceanthrylene fragment of C70, we have designed and synthesized new materials based on cyclopenta-fused polycyclic aromatic hydrocarbons (CP-PAHs). By using a newly developed palladium catalyzed cyclopentannulation methodology, 1,2,6,7- tetraarylcyclopenta[hi]aceanthrylenes were prepared by treating diarylethynylenes with 9,10-dibromoanthracene. Scholl cyclodehydrogenation was used to close the externally fused aryl groups to provide access to contorted 2,7,13,18- tetraalkoxytetrabenzo[f,h,r,t]rubicenes. The contortion provides access to more soluble materials than their planar counterparts but still ii allows significant pi-pi stacking between molecules. Using a modified palladium catalyzed cyclopentannulation polymerization followed by a cyclodehydrogenation reaction, a nonconventional synthesis of CP-PAH embedded ladder polymers was also achieved. These ladder polymers possess broad UV-Vis absorptions and narrow optical gaps of 1.17-1.29 eV. The synthesis of new donor-acceptor copolymers incorporating electron accepting 1,2,6,7- tetra(4

Defense.gov Special Report: Travels with Carter - May 2013

Science.gov Websites

Germany Germany Flag of Djibouti Djibouti Flag of Afghanistan Afghanistan Top Stories Carter Wraps Up , Civilians Breedlove Takes Charge at European Command Carter Arrives in Germany for Eucom Change of Command Meetings Carter Attends Eucom Change of Command Ceremony in Stuttgart, Germany Travel Locations Travel

[Prophylaxis of thromboembolism in atrial fibrillation: new oral anticoagulants and left atrial appendage closure].

PubMed

Zeus, Tobias; Kelm, Malte; Bode, Christoph

2015-08-01

Thrombo-embolic prophylaxis is a key element within the therapy of atrial fibrillation/atrial flutter. Besides new oral anticoagulants the concept of left atrial appendage occlusion has approved to be a good alternative option, especially in patients with increased risk of bleeding. © Georg Thieme Verlag KG Stuttgart · New York.

[Prevention of Obesity and Promotion of Healthy Nutrition in Children by a Kindergarten-Based Intervention: An Evaluation Study].

PubMed

Jahn, I; Böttcher, S

2015-09-01

This outcome evaluation study has investigated different diet concepts in day-care centres and their effects on health-related dietary behaviour of children and their families. No advantage of a certain approach to manage food and diet-related activities in day-care centres could be shown. © Georg Thieme Verlag KG Stuttgart · New York.

Radiolocation Techniques (Les Techniques de Radiolocalisation

DTIC Science & Technology

1992-11-01

Dr R. Klemm DrD Rother FGAN- FFM SEL/LS/E Neuenahrer Strasse 20 Lorenzstrasse 10 D-5307 Wachtberg 7 D-7000 Stuttgart 40 Germany Germany Prof. G...des solutions. accas I lFionograinme, donc: aui profil. Cat article rapporte tine partie des Etudes mendes an La indthodo proposde s’inspirc de cette

Metal/Ceramic Interfaces: Relationships Between Structure and Chemistry

DTIC Science & Technology

1992-12-31

using an Eikonix camera linked to the Vax Station 3200. § 3. RESULTS AND DISCUSSION In this section, results are reported and discussed for four aspects... GESELLS ( HA ~FU ~(R NIET’ALLK1 DE EN. ~ DR. RIEDERER-VERLAG GMBH POSTFACH 104052 7000 STUTTGART I Bd. 81 (1990) H 10 Spinel Interphase Formation at NU

A new suture technique avoids rib fractures and intercostal nerve trauma in thoracotomy.

PubMed

Huang, Biaotong

2014-12-01

This article describes an alternative suture technique for thoracotomy incisions. A modified mattress suture technique is used to fix the intercostal muscles. The described technique can prevent rib fractures and reduce the incidence of intercostal nerve injury. Also, this technique is easy to perform and is effective. Georg Thieme Verlag KG Stuttgart · New York.

Twin-Screw Extruders in Ceramic Extrusion

NASA Astrophysics Data System (ADS)

Wiedmann, Werner; Hölzel, Maria

The machines mainly used for compounding plastics, chemicals and food are co-rotating, closely intermeshing twin-screw extruders. Some 30 000 such extruders are in use worldwide, about 1/3 are ZSKs from Coperion Werner & Pfleiderer, Stuttgart. In the chemical industry more and more batch mixers are being replaced by continuous twin-screw kneaders.

Stephan Mueller (1930”1997)

NASA Astrophysics Data System (ADS)

Olsen, Kenneth H.; Ansorge, Joerg

Stephan Mueller, professor emeritus at the Institute of Geophysics at the Swiss Federal Institute of Technology (ETH) in Zurich and highly respected leader of international geoscience, died February 17, 1997. His untimely death, due to pneumonia following intestinal surgery, came just 18 months after his retirement from the ETH Chair of Geophysics and Directorship of the Swiss Seismological Service. He is survived by his wife, Doris, two sons, and six grandchildren. Mueller received a diploma in physics at the University of Stuttgart in 1957 and an M.S. in electrical engineering from Columbia University in New York in 1959. As an undergraduate at Stuttgart, he was influenced by seismologist Wilhelm Hillerand geophysics quickly became his major academic and career objective. After receiving a 1954-1955 German Academic Interchange Scholarship at Columbia, Mueller sought out Maurice Ewing and his group at Lamont Geological Observatory, where Mueller's enthusiasm for geophysics was strongly encouraged. While at Lamont, he participated in the first U.S. deep-sea geophysical expedition in the Mediterranean Sea during the summer of 1956 aboard the RV Vema.

[Friedrich Schiller and Psychosomatics from the Perspective of Recent Research].

PubMed

Häfner, S

2014-02-01

The aim of this study is to show that Friedrich Schiller (1759 - 1805) was very early in life inclined towards psychosomatic interactions. An analysis of the secondary literature since the death of Friedrich Schiller for the subjects "Friedrich Schiller" and "psychosomatics" was undertaken. Already during his medical studies at the "Hohe Karlsschule" in Stuttgart (Germany) Schiller studied very intensively psychosomatic issues on account of the disease of another student, Joseph Frédéric Grammont, and included the topic in his three theses. Not inclined to practical work as a physician, there are many psychosomatic thoughts and medical concepts in his writings, especially in the play "Die Räuber" (1781) and in "Don Carlos, Infant von Spanien" (1787). Towards the then upcoming topic mesmerism he remained very sceptic. In coping with his own illness there are many psychosomatic aspects, too. Despite his own severe somatic illness he could cope with pain and emphasised in his writings the importance of the freedom of anxiety before death. © Georg Thieme Verlag KG Stuttgart · New York.

HPLC-SPE-NMR identification of a novel metabolite containing the benzo[c]oxepin skeleton from the endophytic fungus Pestalotiopsis virgatula culture.

PubMed

Kesting, Julie R; Staerk, Dan; Tejesvi, Mysore V; Kini, Kukkundoor R; Prakash, Harishchandra S; Jaroszewski, Jerzy W

2009-08-01

HPLC-SPE-NMR analysis of a crude extract of fermentation broth of cultured PESTALOTIOPSIS VIRGATULA isolate TC-320 from TERMINALIA CHEBULA Retz. (Combretaceae) disclosed the presence of a simple but unprecedented low-molecular-weight metabolite, 9-hydroxybenzo[ C]oxepin-3[1 H]-one, subsequently isolated by a targeted purification procedure. Georg Thieme Verlag KG Stuttgart.New York.

[Case report: acute carpal tunnel syndrome with prolapse of the median nerve].

PubMed

Kindler, C; Lukas, B

2013-10-01

We report a case of an 80-year-old woman with an acute carpal tunnel syndrome. This was based on an acute episode of chondrocalcinoses and accompagnied by a prolaps of the median nerve into a gap of the forearm fascia as result of a cut injury in childhood. © Georg Thieme Verlag KG Stuttgart · New York.

THE INTERNATIONAL WALDORF SCHOOL MOVEMENT.

ERIC Educational Resources Information Center

VON BARAVALLE, HERMANN

AN HISTORICAL REVIEW OF THE WALDORF SCHOOL PLAN TRACES THE MOVEMENT FROM ITS FOUNDING IN STUTTGART, GERMANY IN 1919, BY THE WALDORF ASTORIA COMPANY AND UNDER THE DIRECTION OF RUDOLF STEINER, TO ITS INTRODUCTION INTO SWITZERLAND, OTHER EUROPEAN COUNTRIES, THE AMERICAS, AUSTRALIA, NEW ZEALAND, AND SOUTH AFRICA, A TOTAL OF 175 SCHOOLS AS OF 1963. THE…

The Engineering Design of Engine/Airframe Integration for the SAENGER Fully Reusable Space Transportation System

DTIC Science & Technology

2010-09-01

1995 Dasa-DA Hot Metallic Structure Dasa-LM Raufoss A/S (N) NBL Partner Plansee (A) *) HTP, initiated 1988 and sponsored by the German Federal Ministry...Dornier NBL Partner TsAGI (Gus) VOLVO (S) CIAM (GUS) NBL Partner VOLVO (S) AEDC (US) VOLVO (S) Dasa-RI Dasa-LM TU Stuttgart RWTH Aachen DLR TsAGI (GUS

Effects of Affective Education Through Developmental Guidance Services: A One-Year Study.

ERIC Educational Resources Information Center

Stilwell, William E.; Barclay, James R.

This is an evaluation of developmental guidance services' affective education program. Data was collected on children enrolled in Buerkle School and in a control school (Julia Shannon) in Stuttgart School District No. 22 (AR). Third- and fourth-grade level boys and girls who had been in the program for the full 1975-1976 year provided data for…

Effects of an Affective-Social Education Program Over Two Years.

ERIC Educational Resources Information Center

Stilwell, William E.; Barclay, James R.

This report describes the effects of a 2-year affective-social education program offered by the elementary guidance services of the Stuttgart School District in Arkansas. Four groups of children (a total of 105 boys and 116 girls) were identified for this evaluation: Group I, involved in the program for two full years; Group II, participating one…

Effects of a Developmental Guidance Program on the Affective-Social Development of Third and Fourth Graders.

ERIC Educational Resources Information Center

Stilwell, William E.

This study compared the effects of the Stuttgart School District's developmental guidance program with the effects of one of its traditional school programs on children's affective-social development. Affective education data were collected at the end of third grade (May, 1975) and again at the end of fourth grade (May, 1976) for 58 boys and 47…

[Ethical insolvency?].

PubMed

von Weizsäcker, F; Maio, G

2010-04-01

The current DRG system has not only changed the economic structure of clinical medicine but also has profound effects on its original mission. In the present paper we discuss the fundamental limits of the DRG system and make a case for placing more emphasis on time and communication in health care. Georg Thieme Verlag KG Stuttgart. New York.

Affective Education in the Primary Grade Levels: A Pilot Program.

ERIC Educational Resources Information Center

Stilwell, William E.; Barclay, James R.

This report describes a 12-week pilot phase of an affective education program in the Stuttgart School District, Arkansas. Participating in the program were 218 children, grades 2-4, and a team of nineteen teachers who were given 12 weeks of in-service training designed to facilitate their use of the DUSO, Focus on Self-Development Human…

IfA Catalogs of Solar Data Products

NASA Astrophysics Data System (ADS)

Habbal, Shadia R.; Scholl, I.; Morgan, H.

2009-05-01

This paper presents a new set of online catalogs of solar data products. The IfA Catalogs of Solar Data Products were developed to enhance the scientific output of coronal images acquired from ground and space, starting with the SoHO era. Image processing tools have played a significant role in the production of these catalogs [Morgan et al. 2006, 2008, Scholl and Habbal 2008]. Two catalogs are currently available at http://alshamess.ifa.hawaii.edu/ : 1) Catalog of daily coronal images: One coronal image per day from EIT, MLSO and LASCO/C2 and C3 have been processed using the Normalizing Radial-Graded-Filter (NRGF) image processing tool. These images are available individually or as composite images. 2) Catalog of LASCO data: The whole LASCO dataset has been re-processed using the same method. The user can search files by dates and instruments, and images can be retrieved as JPEG or FITS files. An option to make on-line GIF movies from selected images is also available. In addition, the LASCO data set can be searched from existing CME catalogs (CDAW and Cactus). By browsing one of the two CME catalogs, the user can refine the query and access LASCO data covering the time frame of a CME. The catalogs will be continually updated as more data become publicly available.

Dupuytren contracture in the pediatric population: a systematic review.

PubMed

Izadpanah, Ali; Viezel-Mathieu, Alex; Izadpanah, Arash; Luc, Mario

2015-04-01

Dupuytren contracture of the palm is a relatively common benign fibroproliferative disease of the palmar fascia typically affecting the adult population. There have however been several reported cases of Dupuytren contracture in children. We sought to review the literature for Dupuytren contracture and highlight the main clinical features and management of the disease in children. Georg Thieme Verlag KG Stuttgart · New York.

The Shock and Vibration Digest, Volume 17, Number 9

DTIC Science & Technology

1985-09-01

Hannover, Fed. Rep. Germany , pendent vehicle- bridge interaction forces Vol. II, pp 379-398, 6 figs, 17 refs (In has been developed in the present The...79 STRUCTURAL SYSTEMS............. 44 Ducts......................... 80 Bridges ........................ 44 Building Components........... 81...Werkzeugmaschinen, Stuttgart T. Shimura, K. Kamijo Univ., Fed. Rep. Germany National Aerospace Lab., Tokyo, Japan Rept. No. BMFT-FB-HA-183-21, 100 pp Rept. No

[Tripolar cups].

PubMed

Fink, B

2015-04-01

Tripolar cups can be separated into constrained and unconstrained dual-mobility cups. The latter show better survival and revision rates. The main problem is the polyethylene wear. Therefore modern types of polyethylene are used in these cups. The indications for dual-mobility cups are recurrent dislocation and situations where the risk of dislocation is increased. Georg Thieme Verlag KG Stuttgart · New York.

[Cerebellar Infarction After Carbon Monoxide Poisoning and Hyperbaric Oxygen Therapy].

PubMed

Wick, Matthias; Schneiker, André; Bele, Sylvia; Pawlik, Michael; Meyringer, Helmut; Graf, Bernhard; Wendl, Christina; Kieninger, Martin

2017-06-01

We report on a patient who developed a space-occupying cerebellar infarction with occlusive hydrocephalus after a poisoning with carbon monoxide with the intention to commit suicide. A neurosurgical and intensive care therapy were needed. The patient's survival without severe neurological deficits could be secured due to the early detection of the intracerebral lesions. Georg Thieme Verlag KG Stuttgart · New York.

Cognitive ability in children with chronic granulomatous disease: a comparison of those managed conservatively with those who have undergone hematopoietic stem cell transplant.

PubMed

Cole, Theresa S; McKendrick, Fiona; Cant, Andrew J; Pearce, Mark S; Cale, Catherine M; Goldblatt, David R; Gennery, Andrew R; Titman, Penny

2013-08-01

Chronic granulomatous disease (CGD) is a primary immunodeficiency managed conservatively or with hematopoietic stem cell transplant. Studies have shown people with CGD and those transplanted for primary immunodeficiencies have lower than average cognitive ability. In this study, IQ in children with CGD and those transplanted for it was within the normal range. Georg Thieme Verlag KG Stuttgart · New York.

Always expect the unexpected: lung abscess due to pseudomonas aeruginosa mimicking pulmonary aspergilloma in acute B-cell leukemia.

PubMed

Dieks, J-K; von Bueren, A O; Schaefer, I-M; Menke, J; Lex, C; Krause, U; Zenker, D; Kühnle, I; Kramm, C M

2013-11-01

We report on a case of Pseudomonas aeruginosa sepsis and consecutive lung abscess in a 13-year-old patient with acute B-cell leukemia. At first, radiographic findings strongly suggested presence of pulmonary aspergilloma and only microbiological testing of the surgically enucleated mass revealed the correct underlying pathogen and confirmed final diagnosis. © Georg Thieme Verlag KG Stuttgart · New York.

Design of Software for Design of Finite Element for Structural Analysis. Ph.D. Thesis - Stuttgart Univ., 22 Nov. 1983

NASA Technical Reports Server (NTRS)

Helfrich, Reinhard

1987-01-01

The concepts of software engineering which allow a user of the finite element method to describe a model, to collect and to check the model data in a data base as well as to form the matrices required for a finite element calculation are examined. Next the components of the model description are conceived including the mesh tree, the topology, the configuration, the kinematic boundary conditions, the data for each element, and the loads. The possibilities for description and review of the data are considered. The concept of the segments for the modularization of the programs follows the components of the model description. The significance of the mesh tree as a globular guiding structure will be understood in view of the principle of the unity of the model, the mesh tree, and the data base. The user-friendly aspects of the software system will be summarized: the principle of language communication, the data generators, error processing, and data security.

Roentgen diagnosis and incidence of leukemia

DOE Office of Scientific and Technical Information (OSTI.GOV)

Neumann, Gerhard

1962-01-01

From 1954 to 1960, 10 fatal cases of leukemia were recorded in Stuttgart among tuberculous patients over 14 yr of age, in a sample equivalent to 91,549 person-year. In contrast to these 10 cases, 5.86 cases of fatal leukemia were recorded in a corresponding sample of the general population of Stuttgart in the same period, or 233 cases in the total population. Leukemia in the tuberculous patients, who were presumably exposed to more frequent chest roentgenography than control subjects, was in 1 case of the chronic myeloid type, 4 of the acute myeloid type, and 5 of the lumphoid type.more » Only 2 cases were under 50 yr of age and the sex distribution was 5: 5. In none of the 10 cases was radiation exposure excessive. in fact, case records showed that their exposure was slightly lower than for the whole sample of tuberculous subjects. In view of this fact and because the incidence of leukemia is not statistically significantly greater in these subjects than in the general population, thoracic diagnostic radiography did not appear to favor development of leukemia in these subjects.« less

[Text mining, a method for computer-assisted analysis of scientific texts, demonstrated by an analysis of author networks].

PubMed

Hahn, P; Dullweber, F; Unglaub, F; Spies, C K

2014-06-01

Searching for relevant publications is becoming more difficult with the increasing number of scientific articles. Text mining as a specific form of computer-based data analysis may be helpful in this context. Highlighting relations between authors and finding relevant publications concerning a specific subject using text analysis programs are illustrated graphically by 2 performed examples. © Georg Thieme Verlag KG Stuttgart · New York.

[Psychosomatics in gastroenterology - statement of the Work Group for Psychosomatics in Gastroenterology of the German Society of Gastroenterology, Digestive and Metabolic Diseases (DGVS)].

PubMed

Auer, Peter Gunther; Enck, Paul; Häuser, Winfried; Stengel, Andreas; Storr, Martin; Langhorst, Jost

2018-06-01

The Association Psychosomatics in Gastroenterology of the DGVS aims to sharpen the profile of psychosomatic proportions in diagnostics, differential diagnostics and therapy of gastroenterological diseases, increasingly establish psychosomatic aspects in further education and clinical practice guidelines, deepen the cooperation with psychosomatic societies and strengthen the job satisfaction and mental health of gastroenterologists in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

[From the "oversupply of practical physicians" to the "mountain of hospital beds"--organised medical profession and junior staff having to face cost explosion].

PubMed

Schottdorf, A

2010-04-01

The catchwords "oversupply of physicians" and "mountain of hospital beds" may be considered to mark two points of culmination in German health policy discussion between 1960 and 1990. The political background and the practical implications of this discussion will be illustrated and appreciated taking into account both the distinct positions of the organised medical profession and junior staff. Georg Thieme Verlag KG Stuttgart, New York.

[News on hyponatremia].

PubMed

Fenske, Wiebke; Christ-Crain, Mirjam

2016-04-01

Hyponatremia is the most common electrolyte disorder in clinical practice with often severe and devastating complications. Hyponatremia itself as well as its inappropriate management is associated with pronounced morbidity and increased mortality risk. This manuscript presents some relevant novel findings in this field and discusses them in the context of the recently elaborated first European Guideline of hyponatremia. © Georg Thieme Verlag KG Stuttgart · New York.

LigaSure Hemorrhoidectomy for Symptomatic Hemorrhoids: First Pediatric Experience.

PubMed

Grossmann, Ole; Soccorso, Giampiero; Murthi, Govind

2015-08-01

Hemorrhoids are uncommon in children. Third and fourth degree symptomatic hemorrhoids may be surgically excised. We describe the first experience of using LigaSure (Covidien, Mansfield, Massachusetts, United States) to perform hemorrhoidectomies in children. LigaSure hemorrhoidectomy has been well described in adults and is found to be superior in patient tolerance as compared with conventional hemorrhoidectomy. Georg Thieme Verlag KG Stuttgart · New York.

New antimycobacterial triterpenoids from Rhus taitensis.

PubMed

Jadulco, Raquel C; Koch, Michael; Van Wagoner, Ryan M; Pond, Christopher; Gideon, Osia G; Matainaho, Teatulohi; Piskaut, Pius; Barrows, Louis R

2011-09-01

Two new triterpenoids were isolated from the leaves and twigs of Rhus taitensis. Their structures were elucidated by 1D and 2D NMR spectroscopic studies as 1,10,24,25,30-pentahydroxysqualene and dammar-20(22),24-diene-3 β,26,27-triol. Both compounds exhibited moderate antimycobacterial activities with an MIC of 45 µg/mL. © Georg Thieme Verlag KG Stuttgart · New York.

[An Association Between Autonomy and National Ideology: The Founding of the Association for Psychiatry and Neurology in Mecklenburg].

PubMed

Kumbier, E

2016-10-01

Following the end of World War II, regional associations for psychiatry and neurology were founded in the Soviet Occupation Zone. Using the association in Mecklenburg as an example and considering the way society developed in the German Democratic Republic (GDR), it will be shown whether and to what degree these were increasingly subject to state control. © Georg Thieme Verlag KG Stuttgart · New York.

Endobronchial Ultrasound (EBUS) - Update 2017.

PubMed

Darwiche, Kaid; Özkan, Filiz; Wolters, Celina; Eisenmann, Stephan

2018-02-01

Endobronchial ultrasound (EBUS) has revolutionized the diagnosis of lung cancer over the last decade. This minimally invasive diagnostic method has also become increasingly important in the case of other diseases such as sarcoidosis, thereby helping to avoid unnecessary diagnostic interventions. This review article provides an update regarding EBUS and discusses current and future developments of this method. © Georg Thieme Verlag KG Stuttgart · New York.

[Identification of the party responsible for restoring the water quality according to the German Potable Water Act in buildings belonging to a semiautonomous condominium community].

PubMed

Hecker, R M

2017-02-01

When drinking water contaminations occur in installations belonging to a semiautonomous condominium community ( Wohnungseigentumsgemeinschaft ) and the water installation's final paths being owned by the various condominium owners, the German legal definition of the party responsible has a broad reach. Therefore, authorities should address the condominium community, the condominium owners and the community administrator ( WEG-Verwalter ). © Georg Thieme Verlag KG Stuttgart · New York.

[Prophylaxis of CRPS I and recurrent CRPS I].

PubMed

Troeger, H

2011-02-01

In the foreground of the avoidance of a CRPS as well as a recurrent CRPS, also pathophysiological considerations and use-possibilities of different drugs stand beside the observance of generally valid principles for treatment. Its consistent transposition cannot certainly prevent the CRPS in each case admittedly, the installment of the appearance or recurrence of a CRPS clearly lowers however. © Georg Thieme Verlag KG Stuttgart · New York.

[Patient education and treatment documentation - law to improve the rights of patients].

PubMed

Meltendorf, Gerhard; Meltendorf, Christian

2013-07-01

The Law to Improve the Rights of Patients came into force with the promulgation in the German Federal Law Gazette on February 25, 2013. Thus administrations of medical institutions and doctors of all disciplines should acquaint themselves with the statutory regulations and their impact on the daily practice. The present article describes and explains the statutory regulations concerning patient education and treatment documentation. Georg Thieme Verlag KG Stuttgart · New York.

[Health from philosophical-anthropological and theological points of view--geared to an ideal of activity and performance? ].

PubMed

Baltes, D

2010-04-01

Today's understanding of what health or well-being means often refers to certain ideals of activity and achievement. Lennart Nordenfelt's concept of health will be used to analyse and discuss this phenomenon. Furthermore, using the example of the ecclesiastical paper "God is a friend of life", we will explore if such conceptions of health also affect the teachings of the Christian churches. Georg Thieme Verlag KG Stuttgart, New York.

[Sustainable Strategies for Health Promotion in Urban Districts].

PubMed

Große, J; Menkouo, C; Grande, G

2015-09-01

In a city district striving to sustainably develop into a healthy living environment for its residents, cooperation with locally active players as well as network management and the inclusion of citizens and local businesses as non-professional multipliers are particularly promising strategies for developing effective ways of promoting health and integrating them into existing structures in order to reach the target group. © Georg Thieme Verlag KG Stuttgart · New York.

Impacts of Flooding Regime Modification on Wildlife Habitats of Bottomland Hardwood Forests in the Lower Mississippi Valley.

DTIC Science & Technology

1981-10-01

Illinois River Valley, Illinois; the Jonesboro and Stuttgart regions of Arkansas; Union and Alexander Counties in southern Illinois; Reelfoot Lake and Lake ...food habits of mammals in the vicinity of Reelfoot Lake Biological Station, III. Discussion of the mammals recorded from the area. J. Tennessee Acad...Yeager and Anderson (1944) found that fox squir- rels were present in all timbered areas of a leveed bottomland lake in Illinois. Lowery (1974) stated

[Lung auscultation--an overview].

PubMed

Bürgi, Urs; Huber, Lars Christian

2015-07-01

The auscultation of the lungs is - among anamnesis - the most important part in the assessment of patients presenting with pulmonary symptoms. The lung auscultation is reproducible, cost efficient and very helpful to distinguish between differential diagnoses, in particular in emergency situations. Detection and description of lung sounds requires experience and should be performed by strict adherence to the internationally accepted terminology. © Georg Thieme Verlag KG Stuttgart · New York.

[Adjuvants in modern anesthesia - magnesium].

PubMed

Picardi, Susanne; Lirk, Philipp; Blobner, Manfred; Schönherr, Marianne E; Hollmann, Markus W

2015-06-01

Magnesium plays a key role in many cellular functions and there is growing interest in its role in perioperative medicine. While experimental studies provided promising results for several disease states, clinical trials mainly gave conflicting results. This review article summarizes current knowledge on the homeostasis of magnesium as well as on its proposed indications and recommendations in the clinical setting. © Georg Thieme Verlag Stuttgart · New York.

[Interhospital transfer--clinical approach: equipment, risks and complications].

PubMed

Melzer-Gartzke, Christoph

2013-05-01

Interhospital transfers are an integral part of German health care system and a prerequisite to provide specialist investigation, management and best possible outcome for all patients irrespective of regional differences in medical care. In order to reduce transport associated risks to a minimum, adequate specialized transport teams and modern equipped transport vehicles are needed better and better adapted to regional and demographic changes. © Georg Thieme Verlag Stuttgart · New York.

[Diet in Chronic Kidney Disease - A Practical Guide].

PubMed

Bischoff, Stephan C; Basrai, Maryam

2018-06-01

Chronic kidney disease is associated with metabolic disorders. The nutrient requirement varies considerably and often it is not covered. This is why many patients experience severe deficiencies ("kidney disease wasting"), which limits their quality of life and prognosis. On the other hand sodium, potassium and phosphate must be limited. Nutritional therapy is a relevant part of the therapy. © Georg Thieme Verlag KG Stuttgart · New York.

[Guideline for the Diagnosis and Treatment of COPD Patients - Issued by the German Respiratory Society and the German Atemwegsliga in Cooperation with the Austrian Society of Pneumology].

PubMed

Vogelmeier, C; Buhl, R; Burghuber, O; Criée, C-P; Ewig, S; Godnic-Cvar, J; Hartl, S; Herth, F; Kardos, P; Kenn, K; Nowak, D; Rabe, K F; Studnicka, M; Watz, H; Welte, T; Windisch, W; Worth, H

2018-04-01

This document is a revision of the guideline for diagnosis and treatment of COPD that replaces the version from 2007. A multitude of recent reports regarding risk factors, diagnosis, assessment, prevention and pharmacological as well as non-pharmacological treatment options made a major revision mandatory. The new guideline is based on the GOLD document taking into account specifics in Germany and Austria. © Georg Thieme Verlag KG Stuttgart · New York.

[Organisation of Perioperative Pain Management].

PubMed

Meißner, Winfried; Erlenwein, Joachim; Stamer, Ulrike

2018-04-01

Organisational issues of acute pain management are as important as details of pharmacologic treatments or regional analgesia. Lothar Lachgas is a young intern in the department of anaesthesiology of a German hospital. This overview illuminates organisation of perioperative pain management based on his virtual experiences and questions: pain assessment and documentation, patient information and education, tasks of an Acute Pain Service. Georg Thieme Verlag KG Stuttgart · New York.

Assessing the causes for the dentistry selection as a job by Iranian dental students: A Questionnaire Survey

PubMed Central

Hamissi, J; Bairami, P; Hamissi, Z

2015-01-01

Objective: The purpose of the current research is to discover the causes for the dentistry selection as a profession by senior dental scholars in Iran. Materials & Methods: Surveys are distributed between the first-year to the sixth-year senior dental scholars at the Scholl of Dentistry in Medical Sciences Qazvin University in Iran. The survey presented in a lecture hall at the terminal of the secondary term in the 2011-2012 academic years. The survey included 30 parts, and the pupils asked to measure the significance of any part for choosing dentistry as a profession, on a 10-points scale. In addition, T-test and ANOVA utilized for the data analysis. Results: The answering ratio in the research is 55% (out of 100%) of the pupils delivered. Ninety-six students (93.2%) selected it as an initial selection. Dentistry as a job which is “insurer of financial independence” was gained a most rate via 82.5% of the pupils raised and a comparable amount of the students (75.7%), assigned a highest rate to the parameter “I love to enhance many money”. Dentistry as a “science-based job” was also given a score by 80.6% of the pupils. Conclusion: There are no variations in the motivation between men and women students. It obtained that “insurer of financial independence” and “I love to enhance many money” are critical action parameters in the dental pupils population. PMID:28316683

The composition of the Eureka family of Martian Trojan asteroids

NASA Astrophysics Data System (ADS)

Borisov, Galin; Christou, Apostolos; Bagnulo, Stefano

2016-10-01

The so-called Martian Trojan asteroids orbit the Sun just inside the terrestrial planet region. They are thought to date from the earliest period of the solar system's history (Scholl et al, Icarus, 2005). Recently, Christou (Icarus, 2013) identified an orbital concentration of Trojans, named the "Eureka" cluster after its largest member, 5261 Eureka. This asteroid belongs to the rare olivine-rich A taxonomic class (Rivkin et al, Icarus, 2007; Lim et al, DPS/EPSC 2011). Unlike asteroids belonging to other taxonomies (e.g. C or S), no orbital concentrations or families of A-types are currently known to exist. These asteroids may represent samples of the building blocks that came together to form Mars and the other terrestrial planets but have since been destroyed by collisions (Sanchez et al, Icarus, 2014, and references therein).We have used the X-SHOOTER echelle spectrograph on the ESO VLT KUEYEN to obtain vis-NIR reflectance spectra of asteroids in the cluster and test their genetic relationship to Eureka. During the presentation we will show the spectra, compare them with available spectra for Eureka itself and discuss the implications for the origin of this cluster and for other olivine-dominated asteroids in the Main Belt.Based on observations made with ESO Telescopes at the La Silla-Paranal Observatory under programme ID 296.C-5030 (PI: A. Christou). Astronomical Research at Armagh Observatory is funded by the Northern Ireland Department of Culture, Arts and Leisure (DCAL).

Gesellschaft fuer angewandte Mathematik und Mechanik, Scientific Annual Meeting, Universitaet Stuttgart, Federal Republic of Germany, Apr. 13-17, 1987, Reports

NASA Astrophysics Data System (ADS)

Recent advances in the analytical and numerical treatment of physical and engineering problems are discussed in reviews and reports. Topics addressed include fluid mechanics, numerical methods for differential equations, FEM approaches, and boundary-element methods. Consideration is given to optimization, decision theory, stochastics, actuarial mathematics, applied mathematics and mathematical physics, and numerical analysis.

Gesellschaft fuer angewandte Mathematik und Mechanik, Scientific Annual Meeting, Universitaet Stuttgart, Federal Republic of Germany, Apr. 13-17, 1987, Reports

NASA Astrophysics Data System (ADS)

Recent experimental, theoretical, and numerical investigations of problems in applied mechanics are discussed in reviews and reports. The fields covered include vibration and stability; the mechanics of elastic and plastic materials; fluid mechanics; the numerical treatment of differential equations; finite and boundary elements; optimization, decision theory, stochastics, and actuarial analysis; applied analysis and mathematical physics; and numerical analysis. Reviews are presented on mathematical applications of geometric-optics methods, biomechanics and implant technology, vibration theory in engineering, the stiffness and strength of damaged materials, and the existence of slow steady flows of viscoelastic fluids of integral type.

Flight Model of the `Flying Laptop' OBC and Reconfiguration Unit

NASA Astrophysics Data System (ADS)

Eickhoff, Jens; Stratton, Sam; Butz, Pius; Cook, Barry; Walker, Paul; Uryu, Alexander; Lengowski, Michael; Roser, Hans-Peter

2012-08-01

As already published in papers at the DASIA conferences 2010 in Budapest [1] and 2011 in Malta [2], the University of Stuttgart, Germany, is developing an advanced 3-axis stabilized small satellite applying industry standards for command/control techniques, onboard software design and onboard computer components. The satellite has a launch mass of approx. 120kg. One of the main challenges was the development of an ultra compact and performing onboard computer (OBC), which was intended to support an RTEMS operating system, a PUS standard based onboard software (OBSW) and CCSDS standard based ground/space communication. The developed architecture is based on 4 main elements (see [1, 2] and Figure 3) which are developed in cooperation with industrial partners:• the OBC core board based on the LEON3 FT architecture,• an I/O Board for all OBC digital interfaces to S/C equipment,• a CCSDS TC/TM decoder/encoder board,• reconfiguration unit being embedded in the satellite power control and distribution unit PCDU.In the meantime the EM / Breadboard units of the computer have been tested intensively including first HW/SW integration tests in a Satellite Testbench (see Figure 2). The FM HW elements from the co-authoring suppliers are under assembly in Stuttgart.

Quantum Optoelectronics Technical Digest, 1993. Volume 8. Postconference Edition. Summaries of Papers Presented at the Quantum Optoelectronics Topical Meeting Held in Palm Springs, California on March 17-19, 1993.

DTIC Science & Technology

1993-01-01

Japan Wayne Knox AT&T Bell Laboratories Emilio Mendez IBM T J Watson Research Center Manfred PlIkuhn Universit~t Stuttgart, Germany John Ryan University...B. Khurgin, Shaozhong Li, Johns Hopkins Univ. Nonlinear optical fundamental-mode photons is demonstrated. (p. 6) properties of quantum wells, based on...OThAl Microcavity VCSELs, J. L. Jewell, Photonics Research 2:45 pm Inc.; A. Scherer, B. Van der Gaag, L. M. Schiavone , J. P. Harbison, QWC4 Semiconductor

Chronic, refractory CRPS involving 3 limbs: a case report.

PubMed

Zyluk, A

2013-06-01

We report the case of a 26-year-old woman with CRPS involving consecutively 3 extremities during 8 years. None of the treatments used was effective and each CRPS episode resulted in persistence and chronification of the disease. We suggest that this patient presents a specific subtype of the disease, called "chronic, refractory CRPS" which is extremely severe, disabling and resistant to treatment. © Georg Thieme Verlag KG Stuttgart · New York.

[Practice guideline neuroendocrine tumors - AWMF-Reg. 021-27].

PubMed

2018-06-01

This guideline was created for the first time and is intended as a practical aid for the diagnosis and therapy of neuroendocrine tumors. The aim is to represent the current state of science, promote the recognition of the disease and improve the treatment of patients. The guideline was created under the leadership of the DGVS and with participation of neighbouring scientific societies. © Georg Thieme Verlag KG Stuttgart · New York.

[Thyroid Storm and Myxedema Coma].

PubMed

Milkau, Malte; Sayk, Friedhelm

2018-03-01

Thyroid storm and myxedema coma are the most severe clinical forms of thyroid dysfunction. While both hyper- and hypothyroidsm are common diseases, thyroid storm and myxedema coma are rare. Due to their unspecific signs and symptoms they are often difficult to diagnose. Both disorders are medical emergencies, which still show a significant mortality. The following article summarizes diagnostic tools and treatment options for these disorders. © Georg Thieme Verlag KG Stuttgart · New York.

[Shortage of doctors in psychiatric hospitals--providing for the future by reorganizing medical services].

PubMed

Jordan, Wolfgang; Adler, Lothar; Bleich, Stefan; von Einsiedel, Regina; Falkai, Peter; Grosskopf, Volker; Hauth, Iris; Steiner, Johann; Cohrs, Stefan

2011-11-01

Increasing psychiatric disorder treatment need, increased work load, changes in the working hour regulations, the nation-wide shortage of physicians, efficiency principle and economisation can necessitate a reorganisation of medical services. The essential steps and instruments of process optimisation in medical services for a psychiatric clinic are elucidated and discussed in the context of demographic changes, generation change, and a new concept of values. © Georg Thieme Verlag KG Stuttgart · New York.

Cardiopulmonary Effects of Acute Stressful Exercise at Altitude of Individuals with Sickle Cell Trait (SCT)

DTIC Science & Technology

1989-06-01

Annual Symposium on Blood. Stuttgart Germany: FK Schattauer Verlag, 1973; 91-94. Home M: Sickle cell anemia as a rheologic disease. Am J Med 1981; 70...AD___ AD-A222 948 CARDIOPULMONARY EFFECTS OF ACUTE STRESSFUL EXERCISE AT ALTITUDE OF INDIVIDUALS WITH SICKLE CELL TRAIT (SCT) FINAL REPORT Idelle M...Clawi’katiornj (U) Cardiopulmonlary Effects to Acute Stressful Exercise at Altitude of Individuals with - sickle Cell Trait (I1bAS) 12. PERSONAL. AUTHOR

[Case Report: young woman with reduced state of consciousness - rescue team stumble across curious cause].

PubMed

Czaplik, Michael; Brokmann, Jörg; Rossaint, Rolf

2010-01-01

Causes for reduced states of consciousness are diverse; it is often impossible to directly reveal the underlying agents. The following case report describes a young healthy patient who showed a temporary unconsciousness that first appeared seemingly without reason. Accidentally we hit a very uncommon cause for the prevailing carbon monoxide intoxication and were able to prevent further impairment of health status of both patient and environment. (c) Georg Thieme Verlag Stuttgart New York.

[Case Report - Metamizole-Induced Agranulocytosis].

PubMed

Gonnert, Falk A; Meißner, Winfried

2018-05-01

Metamizole is primarily used for severe perioperative pain, acute injury and colic, and cancer pain. For other acute/chronic forms of pain and high fever, it should only be used if unresponsive to other agents. Metamizole should not be used for middle and low pain. Oral application should be preferred. A contraindication for metamizole is leukopenia. Clinical signs for agranulocytosis are fever, tonsillitis and aphthous stomatitis. Georg Thieme Verlag KG Stuttgart · New York.

[Award of the Salomon-Neumann-Medal 2017 - Speech of the Laureate Prof. Bernt-Peter Robra, 5 September 2017, St. Peter´s Church Lübeck].

PubMed

Robra, Bernt-Peter

2018-02-19

The Salomon-Neumann-Medal 2017 of the German Society for Social Medicine and Prevention (DGSMP) was awarded to Bernt-Peter Robra, Institute for Social Medicine and Health Economics (ISMG) of the Otto von Guericke University Magdeburg. The person and scientific merits of Manfred Pflanz are valued and topics of the masterplan2020-process are highlighted, that offer chances for developments in medicine and public health. © Georg Thieme Verlag KG Stuttgart · New York.

[Structural Change, Contextuality, and Transfer in Health Promotion--Sustainable Implementation of the BIG Project].

PubMed

Rütten, A; Frahsa, A; Rosenhäger, N; Wolff, A

2015-09-01

The BIG approach aims at promoting physical activity and health among socially disadvantaged women. BIG has been developed and sustainably implemented in Erlangen/Bavaria. Subsequently, it has been transferred to other communities and states in Germany. Crucial factors for sustainability and transfer in BIG are (1) lifestyle and policy analysis, (2) assets approach, (3) empowerment of target group, (4) enabling of policy-makers and professionals. © Georg Thieme Verlag KG Stuttgart · New York.

Cyclic Deformation and Fatigue of Monocrystalline Ni-Base Superalloys.

DTIC Science & Technology

1983-12-16

understanding crack nucleation (Laird et al at Pennsylvania, Fine et al at Northwestern, Neumann et al at Dusseldorf and Mughrabi et al at Stuttgart...hardened alloy in a project supported by the army. This work concentrated on the stability of precipitates under cyclic deformation ( Al -Ag, Al -Cu systems...and the strain-localization behavior of alloys containing shearable precipitates ( Al -Cu, e") and non-shearable precipitates ( Al -Cu, e’). Furthermore

International Conference on Defects in Semiconductors (19th), ICDS-19, Held in Aveiro, Portugal on 21-25 July 1997, Part 2

DTIC Science & Technology

1998-01-23

W. Moench (Duisburg) H. Mughrabi (Erlangen) H. Neuhäuser (Braunschweig) J. Pollmann (Münster) H.-E. Schaefer (Stuttgart) J.-B. Suck (Chemnitz...et al . [4]) and also for the silicon vacancy Vacsi [5] the hyperfine interaction (hfi) constants e.g. are remarkably insensitive to the polytype and...TMs are tetrahedrally surrounded by four C ligands (TMyc in the notation of Wang et al . [6]) or by four Si (TMTgi) ligands. Computational. In our

[Jellyfish and poison-producing animals that endanger swimmers].

PubMed

Litschauer-Poursadrollah, M; Mayer, D E; Hemmer, W; Jarisch, R

2010-05-01

Exposure to fresh water as well as to sea water can cause unpleasant consequences. The water of lakes or biotopes may be the reason for severe itching reactions on exposed skin, caused by cercariae. Exposure to seawater may lead to skin affections including itching or burning urticarial lesions as well as life threatening reactions. The causes for these reactions are especially species of jellyfish. (c) Georg Thieme Verlag KG Stuttgart. New York.

[Persistent Perpetrator Contact in a Patient with Dissociative Identity Disorder].

PubMed

Tschöke, Stefan; Eisele, Frank; Steinert, Tilman

2016-05-01

The case of a young woman with still ongoing incest and forced prostitution is presented. The criteria for a dissociative identity disorder (DID) were met. Due to persistent contact to the perpetrator she was repeatedly revictimized. Based on the model of trauma-related dissociation we discuss to what extent she was capable of self-determined decision making as well as therapeutic consequences resulting therefrom. © Georg Thieme Verlag KG Stuttgart · New York.

Flight Test Measurement Techniques for Laminar Flow. Volume 23(Les techniques de mesure en vol des ecoulements laminaires)

DTIC Science & Technology

2003-10-01

Chapter 1 – Introduction 1-1 Chapter 2 – Boundary Layer Transition and Laminar Flow Concepts 2-1 2.1 Transition Mechanisms and Transition Prediction 2...Laminar flow control LSTM Lehrstuhl für Strömungsmechanik der Universität Erlangen LWK Laminarwindkanal Stuttgart L2F Laser two-focus anemometer MMO...2.1 Transition mechanisms and transition prediction Modern transonic transport aircraft are characterized by a swept wing resulting in high cruise

[Is there any correlation between the increase of knowledge and specialisation in medicine? Looking back on anaesthesia].

PubMed

Petermann, Heike

2011-04-01

Since the middle of the 19th century medical knowledge was increasing enormously. According to this differentiation medical specialisation was necessary and began at the Deutschen Ärztetag 1924. The recommendation for a specialist for anaesthesia was fulfilled with the introduction of the Facharzt für Anästhesie. The increasing knowledge stands in correlation to the specialization, but not with the slow installation of Anaesthesia as an independent speciality. © Georg Thieme Verlag Stuttgart · New York.

[Food Allergy - Theory and Praxis].

PubMed

Jappe, Uta

2018-05-01

Allergies manifest differently in every patient: Even when the same allergen source is the causing agent, means of sensitization and complexity of symptoms can vary strongly across patients. This often complicates the prevention, diagnostics and therapy of food allergies - or even makes them impossible. This article gives an overview of the underlying immunological principles of food-allergies, as well as of the current therapeutic and diagnostic approaches. © Georg Thieme Verlag KG Stuttgart · New York.

[Nutrition sciences in the treatment of eating disorders].

PubMed

Haas, Verena; Boschmann, Michael

2015-01-01

Several studies provide evidence for the existence of a hypermetabolic state of biological origin in recently weight recovered patients with anorexia nervosa. It remains unclear if current nutritional rehabilitation strategies are consistent with the resulting high energy requirements. Further insight into specific pathophysiological characteristics of energetic efficiency in patients with anorexia nervosa will help us to provide evidence based nutritional guidance. Basic nutritional research in this field is urgently required. © Georg Thieme Verlag KG Stuttgart · New York.

Novel Isochroman Dimers from Stachybotrys sp. PH30583: Fermentation, Isolation, Structural Elucidation and Biological Activities.

PubMed

Li, Wei; Yang, Ya-Bin; Yang, Xue-Qiong; Xie, Hui-Ding; Shao, Zhi-Hui; Zhou, Hao; Miao, Cui-Ping; Zhao, Li-Xing; Ding, Zhong-Tao

2017-05-01

The rare anishidiol and five new isochromans, including three novel dimers with unprecedented skeletons, were isolated from Stachybotrys sp. PH30583. Their structures were determined by spectral analyses. The bioactivities of these compounds were also investigated. The dimers ( 6 - 10 ) inhibited acetylcholinesterase at 50 µM, but the monomers did not. To investigate the biogenesis of the novel dimers, a time-course investigation of metabolite production was undertaken. Georg Thieme Verlag KG Stuttgart · New York.

[Hand replantation: differences in functional outcome considering patient age and sociomedical aspects].

PubMed

Reichl, H; Schütz, T; Gabl, M; Angermann, P; Russe, E; Wechselberger, G

2013-12-01

By presenting 2 cases of successful hand replantation with similar trauma mechanism, level of amputation and ischaemia time of an 18-year-old female patient and a 48-year-old depressive male patient, the influence of age and sociomedical status on the postoperative outcome is discussed. DASH- (disabilities of the arm, shoulder and hand) score and Biometrics E-LINK power and sensitivity measurement were used to evaluate the outcomes. © Georg Thieme Verlag KG Stuttgart · New York.

Proceedings of the European ISTVS Conference (6th), OVK Symposium (4th), on "Off Road Vehicles in Theory and Practice", Held at Vienna, Austria on 28-30 September 1994. Appendix.

DTIC Science & Technology

1994-09-30

Experimentalfahrzeug 8x DipL-fng. W. Slinkell Mercedes - Benz AG Stuttgart, Deutschland 3 Zumn Nachweis hoher Mobilittit wurde 1986 ein Experimentalfahrzeug Mx mit...propulsed by a 6 cylinder turbo charged Diesel engine from the passenger car series by Mercedes Benz and which is also equipped with an automatic...transmission by Mercedes Benz reaches 52 kilometers per hour when being used on the road and 4 km/h when swimming through water. II I i i DESIGN FEATURES I

[Injuries caused by acids and bases - emergency treatment].

PubMed

Reifferscheid, Florian; Stuhr, Markus; Kaiser, Guido; Freudenberg, Matthias; Kerner, Thoralf

2014-06-01

Emergency medical care for injuries caused by acids and bases is challenging for rescue services. They have to deal with operational safety, detection of the toxic agent, emergency medical care of the patient and handling of the rescue mission. Because of the rareness of such situations experience and routine are largely missing. This article highlights some basic points for the therapy and provides support for such rescue missions. © Georg Thieme Verlag Stuttgart · New York.

Development of a 2,4-Dinitrotoluene-Responsive Synthetic Riboswitch in E. coli cells

DTIC Science & Technology

2012-09-01

INTRODUCTION Riboswitches are naturally-occurring genetic regulatory elements found in the 5′ untranslated region of some mRNA. They provide a method...Industrial Genetics at the University of Stuttgart, Germany, respectively. The plasmid pSAL8.1 was kindly provided by Dr. Justin Gallivan from Emory...vol. 252: Ribozymes and siRNA Protocols, 2nd ed. Humana Press, Inc.; 2004, 145-164. (9) Suess, B., and Weigand, J.E. RNA Biology 2008, 5(1), 1-6

[Obstetrical care in myotonic dystrophy type 1 (Steinert disease)].

PubMed

Jah, H; Schalinksi, E; Fischer, J; Maier, J T; Schunck, K U; Hellmeyer, L

2015-08-01

In 1909 the neurologist Dr. Hans Steinert was the first to describe the most common of all neural-muscular diseases: Mytotonic Dystrophy Curschmann Steinert. Up to today this disease is seldom published particularly in obstetrics. This is a case report of a 23-year-old patient. Following extensive interdisciplinary diagnostic a successful caesarian delivery of a healthy boy was performed in the 39(th) week of pregnancy without any complications. © Georg Thieme Verlag KG Stuttgart · New York.

Antimicrobial constituents from the tubers of Bletilla ochracea.

PubMed

Yang, Xinzhou; Tang, Chunping; Zhao, Ping; Shu, Guangwen; Mei, Zhinan

2012-04-01

A new 2-(2-methylpropyl)butanedioic acid derivative, bletillin A ( 1), and a new bibenzyl, bletillin B ( 2), together with seventeen known compounds ( 3- 19), were isolated from the tubers of Bletilla ochracea Schltr. Their structures were established by detailed spectroscopic analyses. Phenanthrenes ( 12- 14) exhibited antibacterial activities against gram-positive bacteria Staphylococcus aureus, S. epidermidis, and Bacillus subtilis, with MIC values of 12.5-25 µg/mL. © Georg Thieme Verlag KG Stuttgart · New York.

Acute bilateral parotitis occurring during venlafaxine titration in an adolescent female with major depression.

PubMed

Bonnet, U; Khalil-Boutros, Y

2014-01-01

Parotitis is a fairly uncommon adverse drug reaction of psychopharmacological treatment. Here, we report on an acute bilateral parotitis, which was associated with titration of venlafaxine in a 20-year-old female suffering from a severe depressive episode. The parotitis recovered quickly with oral penicillin and was most likely caused by bacteria assumed to spread from oral flora into Stensen's duct as a complication of pronounced venlafaxine-induced xerostomia. © Georg Thieme Verlag KG Stuttgart · New York.

Surgical correction of pectus excavatum. How did we get here? Where are we going?

PubMed

Robicsek, F; Watts, L T

2011-02-01

The currently applied techniques recommended for the repair of pectus excavatum anomalies are discussed, set against a historical review of early clinical studies and surgical interventions. The issues of the future direction pectus excavatum surgery may take are analyzed in detail, with the reviewer expressing reservations in connection with the recent trend to closed repair and concern over the potential for serious complications associated with the application of this technique. © Georg Thieme Verlag KG Stuttgart · New York.

German disease management guidelines: surgical therapies for chronic heart failure.

PubMed

Sindermann, J R; Klotz, S; Rahbar, K; Hoffmeier, A; Drees, G

2010-02-01

The German Disease Management Guideline "Chronic Heart Failure" intends to guide physicians working in the field of diagnosis and treatment of heart failure. The guideline provides a tool on the background of evidence based medicine. The following short review wants to give insights into the role of some surgical treatment options to improve heart failure, such as revascularization, ventricular reconstruction and aneurysmectomy, mitral valve reconstruction, ventricular assist devices and heart transplantation. (c) Georg Thieme Verlag KG Stuttgart-New York.

The 16th International Conference on X-ray Absorption Fine Structure (XAFS16)

NASA Astrophysics Data System (ADS)

Grunwaldt, J.-D.; Hagelstein, M.; Rothe, J.

2016-05-01

This preface of the proceedings volume of the 16th International Conference on X- ray Absorption Fine Structure (XAFS16) gives a glance on the five days of cutting-edge X-ray science which were held in Karlsruhe, Germany, August 23 - 28, 2015. In addition, several satellite meetings took place in Hamburg, Berlin and Stuttgart, a Sino-German workshop, three data analysis tutorials as well as special symposia on industrial catalysis and XFELs were held at the conference venue.

[Standard Operating Procedures in Clinical Medicine].

PubMed

Miljak, Tomislav; Zaar, Peter

2017-09-01

Standard operating procedures (SOP) in hospital care have the potential to improve treatment quality and transparency. However, after arriving at the decision to generate a SOP for the own hospital or ward, the upcoming question is often, how to start?The present article tries to give some interdisciplinary guidance about reasonable structures and contents of SOPs that could be understood as a basic matrix for individual work. © Georg Thieme Verlag KG Stuttgart · New York.

[Muscle relaxants and neuromuscular monitoring - Introduction for a safe clinical application].

PubMed

Döcker, Dennis; Walther, Andreas

2012-05-01

The use of muscle relaxants facilitates endotracheal intubation and ameliorates the conditions of surgery. But, their use should be controlled - otherwise there will be postoperative residual curarisation which can lead to patient discomfort up to severe medical complications. Therefore, an appropriate surveillance via objective neuromuscular monitoring is essential. This article gives a review of the basic principles of muscle relaxants, their clinical application and the surveillance of their effects and degradation. © Georg Thieme Verlag Stuttgart · New York.

[Young people's health in single-parent families].

PubMed

Klocke, A

2012-07-01

This paper aims to investigate the effects of sin-gle-parent families on the health of young peo-ple. Database is the 2010 HBSC survey as well as the 2002 and 2006 data for trend analysis. Findings show that there is a weak but significant effect of single-parent families on the health and health-behaviour of young people. There has been little change in the findings between 2002 and 2010. Georg Thieme Verlag KG Stuttgart · New York.

Military Review, January 1992. Volume 72, Number 1

DTIC Science & Technology

1992-01-01

tinuing theme for Vietcong propagandists who COMBAT CUISINE The cooks of the French Expeditionary Corps bottles, along with ammunition and medical sup...Vuono’s goal for the 1990s: an French Brigade in Stuttgart, Germany, offers a Army that is deployable, lethal, agile and versa- suitable model of such an...author offers several valid insights into the faulty planning and execution of the French stand at Dien Bien Phu in 1954 in Indochina, T 2400 ON 7 MAY

The development rubrics skill argued as alternative assessment floating and sinking materials

NASA Astrophysics Data System (ADS)

Viyanti; Cari; Sunarno, Widha; Prasetyo, Zuhdan Kun

2017-11-01

The quality of arguing to learners of floating and sinking material can be assessed by using the rubric of an argumentation assessment skill as an alternative assessment. The quality of the argument is measured by the ability of learners to express the claim in a structured manner in order to maintain the claim with supporting data. The purpose of this study was to develop an argument skill rubric based on the preliminary study results which showed a gap between demands and reality related to the students ‘floating and sinking students’ argument skills. This research was conducted in one of State Senior High School Bandar Lampung. The study population is all students of senior high scholl class XI. Research sample was taken by randomly obtained by 20 students. The research used descriptive survey method. Data were obtained through a multiple choice test both grounded and interview. The results were analyzed based on the level of students’ argumentation skills that had met the criteria which developed in the assessment rubric. The results of the data analysis found that the learners are in the range of levels 1 through 3. Based on the data the average learner is at the level of quality argument “high” for component I and the quality of “low” argument for component 2. This indicates learners experience difficulty which making alternative statement supported by reference in accordance with the initial statement submitted. This fact is supported by interviews that learners need a structured strategy to design alternative statements from shared reading sources to support the preliminary statements presented.

Lesson "Balance in Nature

NASA Astrophysics Data System (ADS)

Chapanova, V.

2012-04-01

Lesson "Balance in Nature" This simulation game-lesson (Balance in Nature) gives an opportunity for the students to show creativity, work independently, and to create models and ideas. It creates future-oriented thought connected to their experience, allowing them to propose solutions for global problems and personal responsibility for their activities. The class is divided in two teams. Each team chooses questions. 1. Question: Pollution in the environment. 2. Question: Care for nature and climate. The teams work on the chosen tasks. They make drafts, notes and formulate their solutions on small pieces of paper, explaining the impact on nature and society. They express their points of view using many different opinions. This generates alternative thoughts and results in creative solutions. With the new knowledge and positive behaviour defined, everybody realizes that they can do something positive towards nature and climate problems and the importance of individuals for solving global problems is evident. Our main goal is to recover the ecological balance, and everybody explains his or her own well-grounded opinions. In this work process the students obtain knowledge, skills and more responsible behaviour. This process, based on his or her own experience, dialogue and teamwork, helps the participant's self-development. Making the model "human↔ nature" expresses how human activities impact the natural Earth and how these impacts in turn affect society. Taking personal responsibility, we can reduce global warming and help the Earth. By helping nature we help ourselves. Teacher: Veselina Boycheva-Chapanova " Saint Patriarch Evtimii" Scholl Str. "Ivan Vazov"-19 Plovdiv Bulgaria

[Crawford Williamson Long - The true discoverer of anesthesia?

PubMed

Petermann, Heike

2016-10-01

October 16, 1846 is regarded as the birth of anaesthesia at the Massachusetts General Hospital in Boston. However, was this really the first anaesthesia with sulphuric ether? In the priority dispute that started already in 1846 there were more participants: WTG Morton, CT Jackson and H Wells. Not involved was CW Long, who has already administered ether anaesthesia in 1842. He has published his results only 1849 and therefore he gained no glory. © Georg Thieme Verlag Stuttgart · New York.

Defense Energy Support Center Fact Book, Fiscal Year 2001, Twenty-Fourth Edition

DTIC Science & Technology

2001-01-01

PMA-272). He was assigned to the U.S. European Command in Stuttgart, Germany from 1991 to 1994, serving in the Joint Petroleum Office as the Staff...Air Force Base, Florida from July 1990 to June 1993. He then served as Logistics Officer (G4) at 3rd Corps Support Command in Wiesbaden, Germany from...TURNOVER TO DESC FUEL SALES TO NORWAY AND EXCHANGES OF PRODUCT WITH GERMANY WILL LEAD TO TERMINATION OF AGREEMENTS WITH NORWAY AND DENMARK IN 2002 SOURCE

Defense Energy Support Center Fact Book, Fiscal Year 2000, Twenty-Third Edition

DTIC Science & Technology

2000-01-01

assigned to the U.S. European Command in Stuttgart, Germany from 1991 to 1994, serving in the Joint Petroleum Office as the Staff Petroleum Officer for...from July 1990 to June 1993. He then served as Logistics Officer (G4) at 3rd Corps Support Command in Wiesbaden, Germany from July 1993 to June 1995...successfully used the RDC system to collect fuel requirements for customers in the Germany PC&S and Hawaii PC&S programs. In August 2000, DESC used the

[Psychosocial Therapies in Severe Mental Illness: Outlook on the Update of the DGPPN-S3-Guideline].

PubMed

Gühne, Uta; Becker, Thomas; Riedel-Heller, Steffi

2016-08-01

The Psychiatry Enquête turned 40 years old last year. The S3 guideline "Psychosocial therapies for severe mental illness" is considered to be the last milestone of the reform to date. This paper highlights new impulses resulting from the S3 guideline for psychiatric care and provides an outlook on the update, expected in 2017. Many of the interventions reported in the S3 guideline are now supported by a broader evidence base. © Georg Thieme Verlag KG Stuttgart · New York.

[Evaluation of the Family-based Familien stärken-Program for Preventing Substance Abuse and Behavior Problems in Youth].

PubMed

Stappenbeck, J; Wendell, A; Thomasius, R

2015-09-01

The Strengthening Families Program was developed in the USA and is regarded as an effective family-based prevention programme for youth. The evaluation of an adapted German version was carried out as a randomised-controlled multicentre trial. 292 families were recruited, 150 followed the intervention, and 142 received a minimal intervention. Acceptance from families and programme facilitators was high. Results about the effectiveness will be reported as soon as follow-up assessments are completed. © Georg Thieme Verlag KG Stuttgart · New York.

[Side effects of psychotropic medication: Suggestions for clinical practice].

PubMed

Grunze, Anna; Mago, Rajnish; Grunze, Heinz

2017-11-01

Psychotropics are highly effective medications that, however, have adverse drug reactions attached to them. They are indispensable for many patients. How to cope with side effects - watchful waiting, dose reduction, change of medication, addition of an "antidote" and behavioural modifications - depends on their nature, severity and finally the patients wish. This review is meant to aid clinician's and patient's decisions in case of the occurrence of compromising, frequent adverse drug reactions. © Georg Thieme Verlag KG Stuttgart · New York.

Diagnostic Tools for Plasma Wind Tunnels and Reentry Vehicles at the IRS

DTIC Science & Technology

2000-04-01

activ n e pronte . pwindkanal", Dissertation, Universittit Stuttgart, 1998. A mass spectrometer probe can be used with low [A.9] Auweter-Kurtz, M., Laure...obtained ffrom experiments at a plasma state with a mass flowFig. B2.28: RtooOISobandfrom dintensities in a 3D -view rate of 2 g/s air and an ambient...spectrometer work is based on the estimations either in solid food stuffs or organic chopped-light (AC) principle which is illustrated in materials ( e.g

[Psychosocial interventions for high-risk family members with mental health problems--concepts and results].

PubMed

Stiawa, Maja; Kilian, Reinhold; Becker, Thomas

2014-09-01

Systematic review of psychosocial interventions for high-risk family members with mental health problems in highly developed industrialized countries. Systematic search in electronic databases as well as manual search for intervention studies. Interventions were effective in significantly reducing symptoms of depression and anxiety and strengthening social skills. Backing in situations of distress, as well as elements of selective primary and secondary psychosocial prevention, has temporary effectiveness among high-risk group members. © Georg Thieme Verlag KG Stuttgart · New York.

[A German network for regional anaesthesia of the scientific working group regional anaesthesia within DGAI and BDA].

PubMed

Volk, Thomas; Engelhardt, Lars; Spies, Claudia; Steinfeldt, Thorsten; Kutter, Bernd; Heller, Axel; Werner, Christian; Heid, Florian; Bürkle, Hartmut; Koch, Thea; Vicent, Oliver; Geiger, Peter; Kessler, Paul; Wulf, Hinnerk

2009-11-01

Regional anaesthesia generally is considered to be safe. However, reports of complications with different severities are also well known. The scientific working group of regional anaesthesia of the DGAI has founded a network in conjunction with the BDA. With the aid of a registry, we are now able to describe risk profiles and associations in case of a complication. Moreover, a benchmark has been implemented in order to continuously improve complication rates. (c) Georg Thieme Verlag KG Stuttgart-New York.

[Hearing rehabilitation with the cochlea implant following translabyrinthine CPA tumor removal ?

PubMed

Schipper, Jörg; Kristin, Julia; Volpert, Simone; Klenzner, Thomas

2017-12-01

We present a quality analysis of 10 patients with an individual treatment trial for a simultaneous or consecutive cochlea implantation after translabyrinthine removal of a neurinoma at the cerebellopontine angle. The results show that most of the patients benefit from the cochlea implantation after unilateral deafness. Through a careful surgical preparation technique at the inner ear canal and its surroundings the morphological and functional integrity of the neurovascular structures can be guaranteed. Georg Thieme Verlag KG Stuttgart · New York.

[Paediatric Rehabilitation by the German Pension Insurance - Status Quo and Future Developments].

PubMed

Widera, T; Baumgarten, E; Druckenmüller, A; Niehues, C

2017-04-01

In Germany inpatient rehabilitation plays a major role for the treatment of children and adolescents with chronic health conditions. The German Pension Insurance carries out the rehabilitation of children and adolescents with high commitment. Paediatric rehabilitation enables children to go to kindergarten and school without interruption and participate in later professional life. The article specifies the basics of paediatric rehabilitation, describes the disease structure, defines the therapeutic care and explicates survey results. © Georg Thieme Verlag KG Stuttgart · New York.

[Severe Eyeball and Facial Skeletal Injuries Caused by Firefighting Sport].

PubMed

Rusňák, Š; Maranová, Z; Kasl, Z; Hecová, L; Voigt, E; Raiskup, F

2017-07-01

The aim of this work is to draw attention to possible injuries of the eye and the facial skeleton caused by firefighting sport. There was a group of 9 patients presented who were treated from 2006 to 2015 in the Department of Ophthalmology at the University Hospital in Pilsen and diagnosed with severe eyeball contusion after being hit by a jet of water and/or a water pipe. Three cases are presented in detail. Georg Thieme Verlag KG Stuttgart · New York.

[Chronic otitis mediaChronic Otitis Media].

PubMed

Kohles, N; Schulz, T; Eßer, D

2015-11-01

There are 2 different kinds of chronic otitis media: Otitis media chronica mesotympanalis and otitis media chronica epitympanalis (cholesteatoma). The incidence of chronic otitis media as reported in literature differs in a wide range. The incidence rates vary between 0.45 and 46%. Both, otitis media chronica mesotympanalis and cholesteatoma, lead to eardrum perforation due to lengthy and recurring inflammations. Furthermore, chronic otitis media is characterized by frequently recurring otorrhea and conductive hearing loss. Georg Thieme Verlag KG Stuttgart · New York.

[Premenstrual Dysphoric Disorder (PMDD) as an independent disease].

PubMed

Passow, D; Bolz, M

2012-07-01

This paper provides an overview of premenstrual dysphoric disorder (PMDD) and its clinical relevance in differentiation to premenstrual syndrome (PMS). Regarding recent research on epidemiology, aetiology, symptoms and therapy, PMDD is a discrete disorder and has a good prognosis in cases of appropriate diagnosis and therapy. The information provided in this review will help to better integrate PMDD into the psychiatric diagnostic process; options for diagnosis and treatment are also presented. © Georg Thieme Verlag KG Stuttgart · New York.

[Trans-Cultural Prevention of Alcohol-Related Disorders in Elderly Immigrants].

PubMed

Bermejo, I; Frank, F

2015-09-01

In migrants alcohol-related problems increase with increasing age. This group, in particular, is hardly reached by alcohol-specific care offers. Thus our project aimed at the identification of target group-specific barriers to health-care use by means of a cross-sectional study (n=435). Based on these results a trans-cultural concept for alcohol prevention among elderly migrants was developed and evaluated in a cluster-randomised controlled trial (n=176). © Georg Thieme Verlag KG Stuttgart · New York.

[Body integrity identity disorder--first success in long-term psychotherapy].

PubMed

Thiel, Aylin; Ehni, Franziska J F; Oddo, Silvia; Stirn, Aglaja

2011-07-01

The Body Integrity Identity Disorder (BIID) is a fairly unknown and unexplored psychic illness. Very little cases underwent a psychotherapeutic treatment. We report on the two-and-a-half year psychotherapy with a 37 years old man, who wants an amputation of his two legs. Origin and meaning of the amputation desire were uncovered in psychotherapy. The psychodynamic oriented therapy with cognitive-behavioral elements can be used to develop further treatment approaches. © Georg Thieme Verlag KG Stuttgart · New York.

[Definition of the core area of medical services in the psychiatric-psychotherapeutic field--the prerequisite for any delegation].

PubMed

Jordan, Wolfgang; Bleich, Stefan; Cohrs, Stefan; von Einsiedel, Regina; Falkai, Peter; Grosskopf, Volker; Hauth, Iris; Steiner, Johann; Adler, Lothar

2011-11-01

Based on legal jurisdiction, knowledge of the psychiatric-psychotherapeutic field and insight into the necessity of a new allocation of responsibilities in the overall therapeutic service of a clinic, the core areas of medical activities are defined for the first time, innovative organisational approaches to the reorganisation of therapeutic service are presented and discussed against the background of qualified staff deficit, introduction of an OPS coding for inpatient psychiatry and economic constraints. © Georg Thieme Verlag KG Stuttgart · New York.

Successful treatment of pure aortic insufficiency with transapical implantation of the JenaValve.

PubMed

Bleiziffer, Sabine; Mazzitelli, Domenico; Nöbauer, Christian; Ried, Thomas; Lange, Rüdiger

2013-08-01

Transcatheter aortic valve implantation was predominantly developed for patients with severe calcified aortic stenosis, as most devices are designed to anchor within the native valve calcium. We report on a patient with pure insufficiency of a non-calcified aortic valve, in whom an anatomically oriented catheter valve was implanted successfully. The design of the prosthesis with position feelers engaging the native aortic valve leaflets proved to be suitable for the treatment of pure aortic insufficiency. Georg Thieme Verlag KG Stuttgart · New York.

[Fracture of the diaphyseal radius during Cyr wheel practice - an uncommon injury of wheel gymnastics].

PubMed

Kauther, M D; Rummel, S; Hussmann, B; Lendemans, S; Nast-Kolb, D; Wedemeyer, C

2011-12-01

The cyr wheel is a modified gymnastic wheel with only one ring that can lead to extreme forces on the gymnast. We report on a distal radius shaft fracture (AO 22 A 2.1) and a fracture of the styloid process of the ulna that occurred after holding on to a slipping Cyr wheel and exposition to high pressure on the lower arm. The fracture was fixed by screws and a plate. © Georg Thieme Verlag KG Stuttgart · New York.

[Distributions of Mental Disorders and Psychosocial Pressures in Children and Adolescence of a Psychiatric Health Care Population].

PubMed

Belhadj Kouider, Esmahan; Dupont, Marc; Lorenz, Alfred L; Petermann, Franz

2016-07-01

Distributions in children's or adolescents' mental disorders or in psychosocial pressures were demonstrated. The health care population in child- and adolescent psychiatric institutions of Bremen in 2005 - 2012 (N = 7190) was analyzed. Amongst other burden factors pressures in school context or abnormal social environments increased significantly. Adjustment stress disorders or externalizing disorders were dominant, but the prevalence in affective and anxiety disorders increased considerably. The co-operation with school authorities or agencies should be intensified. © Georg Thieme Verlag KG Stuttgart · New York.

[Basics of Ear Surgery].

PubMed

Lailach, S; Zahnert, T

2016-12-01

The present article about the basics of ear surgery is a short overview of current indications, the required diagnostics and surgical procedures of common otologic diseases. In addition to plastic and reconstructive surgery of the auricle, principles of surgery of the external auditory canal, basics of middle ear surgery and the tumor surgery of the temporal bone are shown. Additionally, aspects of the surgical hearing rehabilitation (excluding implantable hearing systems) are presented considering current study results. Georg Thieme Verlag KG Stuttgart · New York.

[Improving Mental Health Literacy and Mental Illness Stigma in the Population of Hamburg].

PubMed

Lambert, Martin; Härter, Martin; Arnold, Detlef; Dirmaier, Jörg; Tlach, Lisa; Liebherz, Sarah; Sänger, Sylvia; Karow, Anne; Brandes, Andreas; Sielaff, Gyöngyver; Bock, Thomas

2015-07-01

Evidence shows that poor mental health literacy and stigmatization have negative consequences on mental health. However, studies on interventions to improve both are often heterogenic in methodology and results. The psychenet-campaign in Hamburg was developed and implemented in collaboration with patients and relatives and comprised multidimensional interventions focusing on education and contact to patients. The main goals were the improvement of mental health literacy and destigmatization and the long-term implementation within Hamburg's mental health care system. © Georg Thieme Verlag KG Stuttgart · New York.

[Diverse sustainability--sustainable diversity].

PubMed

Schmeling-Kludas, Christoph; Koch-Gromus, Uwe

2011-08-01

In spite of its plenitude, the scientific works of the important German psychologist Ernst August Dölle (1898-1972) are little adapted till today, mostly they are being reduced to his studies about dichotomy and duplicity. But based on his diaries of the year 1968, the authors can verify without doubt, that Dölle far ahead of his time, carried on research about sustainability and diversity. He was the first scientist worldwide to connect these two concepts. Georg Thieme Verlag KG Stuttgart · New York.

[Treatment of hip fractures in elderly patients].

PubMed

Hack, Juliana; Bliemel, Christopher; Ruchholtz, Steffen; Bücking, Benjamin

2015-04-01

Hip fractures are among the most common fractures in elderly people. The annual number of femoral fractures is even expected to increase because of an aging society. Due to the high number of comorbidities, there are special challenges in treating geriatric hip fracture patients, which require a multidisciplinary management. This includes surgical treatment allowing full weight bearing in the immediate postoperative period, osteoporosis treatment and falls prevention as well as an early ortho-geriatric rehabilitation program. © Georg Thieme Verlag Stuttgart · New York.

[Neonatal infection with Salmonella apapa after contact with a reptile in the home].

PubMed

Haase, R; Beier, T; Bernstädt, M; Merkel, N; Bartnicki, J

2011-04-01

Salmonella apapa is transmitted by reptiles, e.g., bearded dragons. To date only few cases of S. apapa-related human infections have been reported. Because the bacteria are transmitted through the feces of animals or direct contact with low infection doses, infection in early infancy is possible. We report an 18-day-old newborn with sepsis caused by Salmonella apapa. Salmonella apapa was isolated from the feces of a bearded dragon living along with the family. © Georg Thieme Verlag KG Stuttgart · New York.

Surgical closure of persistent arterial duct with minimal invasive anterior thoracotomy: an alternative technique.

PubMed

Fouilloux, Virginie; Gran, Célia; Kreitmann, Bernard

2014-10-01

Surgical approach for persistent ductus arteriosus ligation is typically a left lateral thoracotomy opening the pleural-space with left lung retraction. We describe an alternative approach, with a minimally invasive anterior parasternal incision. This is particularly adapted to preterm infants weighing less than 1.5 kg. This approach ensures a good exposure of vessels. We believe that it is safe, reliable and reproducible. The learning curve should not be an issue for surgeons used to manage low weight patients. Georg Thieme Verlag KG Stuttgart · New York.

Payload specialist Merbold performing experiment in Spacelab

NASA Image and Video Library

1983-11-28

STS009-13-699 (28 Nov - 8 Dec 1983) --? Ulf Merbold, Spacelab 1 payload specialist, carries out one of the experiments using the gradient heating facility on the materials science double rack facility in the busy science module aboard the Earth-orbiting Space Shuttle Columbia. Representing the European Space Agency, Dr. Merbold comes from Max-Planck Institute in Stuttgart, the Federal Republic of Germany. He is a specialist in crystal lattice defects and low temperature physics. The photograph was made with a 35mm camera.

[Point of Care 2.0: Coagulation Monitoring Using Rotem® Sigma and Teg® 6S].

PubMed

Weber, Christian Friedrich; Zacharowski, Kai

2018-06-01

New-generation methods for point of care based coagulation monitoring enable fully automated viscoelastic analyses for the assessment of particular parts of hemostasis. Contrary to the measuring techniques of former models, the viscoelastic ROTEM ® sigma and TEG ® 6s analyses are performed in single-use test cartridges without time- and personnel-intensive pre-analytical procedures. This review highlights methodical strengths and limitations of the devices and meets concerns associated with their integration in routine clinical practice. Georg Thieme Verlag KG Stuttgart · New York.

Robot-assisted thoracoscopic surgery with simple laparoscopy for diaphragm eventration.

PubMed

Ahn, Joong Hyun; Suh, Jong Hui; Jeong, Jin Yong

2013-09-01

Robot-assisted thoracoscopic surgery has been applied for general thoracic operations. Its advantages include not only those of minimally invasive surgery but also those of magnified three-dimensional vision and angulation of the robotic arm. However, there are no direct tactile sensation and force feedback, which can cause unwanted organ damage. We therefore used laparoscopy simultaneously to avoid a blind intraperitoneal area during robotic surgery for diaphragmatic eventration via transthoracic approach and describe the technique herein. Georg Thieme Verlag KG Stuttgart · New York.

[The interrelation between perceived discrimination, depressiveness, and health related quality of life in immigrants of Turkish and Polish origin].

PubMed

Morawa, Eva; Erim, Yesim

2014-05-01

Comparative study on perceived discrimination and subjective health status in two immigrants samples. In a total sample consisting of 218 immigrants of Turkish and Polish origin perceived discrimination, depressiveness (BDI) and health related quality of life (SF-36) were assessed. Turkish immigrants have shown higher levels of perceived discrimination and depressiveness as well as a lower subjective quality of life. The results indicate that Turkish immigrants have a greater mental impairment compared to persons with Polish migration background. © Georg Thieme Verlag KG Stuttgart · New York.

Daylighting with Fluorescent Concentrators and Highly Reflective Silver-Coated Plastic Films: A New Application for New Materials

NASA Astrophysics Data System (ADS)

Zastrow, Armin; Wittwer, Volker

1986-09-01

The interest in efficient daylighting systems has grown recently, due to their potential for saving a considerable amount of electrical energy used for lighting purposes. In this paper we discuss the properties of daylighting systems based on either fluorescent planar concentrators and transparent light guiding plates or light pipes coated with highly reflective silver coated plastic films. Finally we give first results from a demonstration project, daylighting systems in the students' living quarters in Stuttgart-Hohenheim, which is supported by the Commission of the European Communities.

[Case report: Aneurysmatic subarachnoid hemorrhage -- complicated course due to coincidental manifestation of an inverted Tako-Tsubo-cardiomyopathy].

PubMed

Zech, Nina; Kieninger, Martin; Seemann, Milena; Künzig, Holger; Bele, Sylvia; Dietl, Alexander

2014-07-01

We report the case of a patient who suffered a serious subarachnoid hemorrhage with a cardialaffection and development of an inverted Tako-Tsubo-cardiomyopathy. To avoid apparent cerebral ischemia due to severe cerebral vasospasm after exhaustion of conservative therapeutic options a temporarily endovascular therapy with continuous intra-arterial application of Nimodipine was necessary. In the overall protracted and complicated course the special challenge were the therapeutic efforts to avoid apparent cerebral ischemia in context to the significant cardial affection. © Georg Thieme Verlag Stuttgart · New York.

[Thromboangiitis obliterans (Buerger's disease): update 2015].

PubMed

Klein-Weigel, Peter; Volz, Theresa Sophie; Richter, Jutta

2015-10-01

Thromboangiitis obliterans (Buerger's disease) is a vasculitis with undulating clinical course multisegmentarily affecting small and medium-sized arteries and veins. The disease is closely linked to tobacco-use. Increasing knowledge of autoimmunologic mechanisms in the complex pathophyiology of the disease let to the formulation of an autoimmunity-hypothesis now serving as a new paradigma. New treatment options comprise progenitor-cell-therapy, immunoadsorption, use of sendothelin-receptor-blocking agent Bosentan, and prescriptions of antiphosphodiesterase-V-inhibitors. © Georg Thieme Verlag KG Stuttgart · New York.

[GeKo KidS--Health Literacy in School Children].

PubMed

Splieth, C H; Franze, M; Plachta-Danielzik, S; Thyrian, J R; Schmidt, C O; John, U; Kohlmann, T; Müller, M J; Hoffmann, W

2015-09-01

The main goal of this study was the evaluation of an intervention programme for the promotion of health literacy in school-aged children (grade 5-6). The project and the programme were highly accepted, the extension of the annual dental health examination was suitable to collect data within evaluation projects in schools. In spite of positive outcomes, a longer supervision phase would be necessary in order to optimise and to implement other programme components fully. © Georg Thieme Verlag KG Stuttgart · New York.

[Preclinical birth of an extremely premature infant - a case report].

PubMed

Pöhlmann, Tobias; Schmidt, Armin; Pohl, Wolfgang

2016-11-01

Obstetrical emergencies requiring emergency medical service are very rare. An extremely premature birth in a preclinical setting is certainly exceptional. In the following case report, the emergency medical team was unexpectedly faced with the home birth of a fetus at the 23 rd week of gestation. Prematurity at the edge of viability poses a challenge to first care, equipment, infrastructure, expertise and clinical ethics. To the authors' knowledge, there is no comparable case report published so far. © Georg Thieme Verlag Stuttgart · New York.

[German version of a validated instrument to measure the quality of life in patients with hypertension].

PubMed

Chrubasik, C; Himmelberger, D; Kohlmann, T; Chrubasik, S

2012-08-01

The aim of this study was to prepare according to standardised criteria a German version of the validated short instrument for the quality of life in patients suffering from hypertension. This instrument is appropriate for clinical trials investigating the effectiveness of antihypertensive treatments. But also in the daily routine this instrument enables one to identify any impairment of life quality due to antihypertensive treatment as early as possible, especially sexual dysfunction, and to react appropriately with treatment adaptations. © Georg Thieme Verlag KG Stuttgart · New York.

[Healthy Aging at Work - Group Intervention in Middle Aged Nurses].

PubMed

Maatouk, Imad; Helaß, Madeleine

2018-05-30

Demographic change leads to shifting demands in patient care, not only due to older and sicker patients, but also due to ageing and potentially strained nursing staff. High job strain is known to be associated with an intention to leave the job. At the same time prevalence of mental distress is already high. The aim of our work was to develop a small group intervention to prevent mental strain and to enhance healthy ageing at work. © Georg Thieme Verlag KG Stuttgart · New York.

Ergonomic risk assessment with DesignCheck to evaluate assembly work in different phases of the vehicle development process.

PubMed

Winter, Gabriele; Schaub, Karlheinz G; Großmann, Kay; Laun, Gerhard; Landau, Kurt; Bruder, Ralph

2012-01-01

Occupational hazards exist, if the design of the work situation is not in accordance with ergonomic design principles. At assembly lines ergonomics is applied to the design of work equipment and tasks and to work organisation. The ignoring of ergonomic principles in planning and design of assembly work leads to unfavourable working posture, action force and material handling. Disorders of the musculoskeletal system are of a common occurrence throughout Europe. Musculoskeletal disorders are a challenge against the background of disabled workers. The changes in a worker's capability have to be regarded in the conception of redesigned and new assembly lines. In this way ergonomics becomes progressively more important in planning and design of vehicles: The objective of ergonomic design in different stages of the vehicles development process is to achieve an optimal adaptation of the assembly work to workers. Hence the ergonomic screening tool "Design Check" (DC) was developed to identify ergonomic deficits in workplace layouts. The screening-tool is based on the current ergonomic state of the art in the design of physical work and relevant EU legal requirements. It was tested within a federal German research project at selected work stations at the assembly lines at Dr.-Ing. h.c. F. Porsche AG / Stuttgart. Meanwhile the application of the screening-tool DC is transferred in other parts of the Porsche AG, Stuttgart. It is also realized as an ergonomic standard method to perform assembly work in different phases of the vehicle development process.

[Treatment of a postoperative rectal stenosis with a self-expanding biodegradable polydioxanone stent].

PubMed

Dederichs, F; Knüdeler, S; Nolte, W; Iesalnieks, I

2013-05-01

Rectal stricture is a serious although infrequent complication of transanal endoscopic microsurgery (TEM). In some cases, these strictures may be refractory to treatment by endoscopic balloon dilatation. Biodegradable stents might improve the outcome by providing an extended period of dilatation. Moreover, these stents can remain in place without the need to remove them. In the presented case, a biodegradable polidioxanone stent originally developed to treat benign oesophageal stenoses was used to treat a patient suffering from rectal stricture following a TEM. © Georg Thieme Verlag KG Stuttgart · New York.

[The Extended Deltoid-Split Approach for Plating Four-Part Proximal Humeral Fractures].

PubMed

Schiffer, G; Sayar, A; Thelen, U

2016-08-01

The deltoideopectoral approach is established as the gold standard in the surgical treatment of proximal humeral fractures. As an alternative, we demonstrate the extended deltoid approach with an intraoperative video. A direct lateral incision is performed and the anterior parts of the axillary nerve are identified and preserved. In our experience, this approach allows improved visualisation of the greater tuberosity and easier positioning of locking plates. Clinically relevant neurological injuries cannot be seen in our patients or in the literature. Georg Thieme Verlag KG Stuttgart · New York.

[The economic solution for integrating radiology and surgery: hybrid OR].

PubMed

Freitag, T; Langer, S

2012-10-01

Currently, interventional (angiographically-guided) therapies have become more and more important in cardiovascular medicine. Hybrid procedures in hybrid operating rooms (ORs) have now become major topics at national and international meetings. A few hospitals have already implemented the project "hybrid OR", in some institutions the system is still in the planning stage. The aim of our article is to present the hospital management point of view, and thus, to focus on the economic and logistic issues from planning through to implementation. Georg Thieme Verlag KG Stuttgart · New York.

[Obesity in prehospital emergency care].

PubMed

Kruska, Patricia; Kappus, Stefan; Kerner, Thoralf

2012-09-01

The prevalence of obesity has increased steadily in recent years. Obese people often suffer from diseases which acute decompensation requires a prompt prehospital therapy. The Emergency Medical Service will be confronted with difficulties in clinical diagnostic, therapy and especially with a delayed management of rescue and transport. It is most important to avoid prehospital depreciation in quality and time management. This article reviews the specific requirements of prehospital care of obese persons and discusses possible solutions to optimize the prehospital therapy. © Georg Thieme Verlag Stuttgart · New York.

Prenylated Flavonoids and Phenolic Compounds from the Rhizomes of Marine Phanerogam Cymodocea nodosa.

PubMed

Smadi, Abla; Ciavatta, Maria Letizia; Bitam, Fatma; Carbone, Marianna; Villani, Guido; Gavagnin, Margherita

2017-11-23

Chemical investigation of the rhizomes of the marine phanerogam Cymodocea nodosa resulted in the isolation of two new prenylated flavon-di- O -glycosides, cymodioside A ( 1 ) and B ( 2 ), along with known phenolic compounds 3 - 7 , some of which never reported from seagrasses to date. The structures of compounds 1 and 2 were established by extensive nuclear magnetic resonance analysis. In addition, the absolute configuration of 4-(2,5-dihydroxyhexyl) benzene-1,2-diol ( 7 ), which was not previously reported in the literature, has been now determined. Georg Thieme Verlag KG Stuttgart · New York.

[Nationwide Evaluation of the "Parental Folder" and its Utility Value--Insights into the Health and Information Behaviour of Parents].

PubMed

Pawils, S; Busche, W; Schwinn, A; Fillinger, U; Koch, U

2015-09-01

The "parental folder" is meant as a primary prevention programme for children starting at birth with the aim to give access to relevant health knowledge to all parents and to strengthen the parental competence in doctor-parent communication. In a sample of N=1,634 families the effects of the folder were examined in a randomized controlled study in the federal states Rhineland-Palatinate and Saxony. In addition N=103 experts were asked for their valuation of the folder. © Georg Thieme Verlag KG Stuttgart · New York.

Weight loss and severe jaundice in a patient with hyperthyroidism.

PubMed

Breidert, M; Offensperger, S; Blum, H E; Fischer, R

2011-09-01

Thyrotoxicosis may significantly alter hepatic function and is associated with autoimmune disorders of the liver. We report the case of a thyrotoxic patient with Graves' disease and histologically established cholestatic hepatitis. Medical treatment of hyperthyroidism normalized liver function tests. In patients with elevated liver function parameters and jaundice of unknown origin, thyroid function should generally be tested. Moreover, medical treatment of hyperthyroidism with thyrostatics may cause severe hepatitis whereas untreated hyperthyroid patients are at risk of developing chronic liver failure. © Georg Thieme Verlag KG Stuttgart · New York.

Sequence therapy in metastatic pancreatic cancer.

PubMed

Waidmann, Oliver; Pelzer, Uwe; Boeck, Stefan; Waldschmidt, Dirk-Thomas

2018-06-01

Pancreatic cancer is one of the most lethal cancer diseases. For years, gemcitabine has been the standard of care and the only therapeutic option in patients with metastatic pancreatic cancer. Within the last years, new combination therapies have been established for first-line treatment, which significantly improve overall survival in comparison to gemcitabine monotherapy. Furthermore, new second-line therapies have been identified, which significantly improve overall survival. The current manuscript summarizes briefly standard of care first- and second-line chemotherapies and discusses possible treatment sequences. © Georg Thieme Verlag KG Stuttgart · New York.

[Attendance for Using Internet-Based Support After Inpatient Treatment - A Cross-Sectional Survey].

PubMed

Frank, Fabian; Gräder, Nicola; Dahlmann, Hannah; Berger, Mathias; Hölzel, Lars

2018-05-01

Examination of the attendance for using internet-based measures after inpatient treatment. Cross-sectional-survey in former inpatients (N = 247). 44.9 % are willing to use measures via videoconference, 34.7 % via Chat, 50.0 % via E-Mail and 38.0 % as onlinetherapy. Attendance is lower in older age groups. Benefits regarding the introduced measures are seen mainly in the flexibility and disadvantages in the impersonal character. A relevant share of especially younger patients is willing to use internet-based measures. © Georg Thieme Verlag KG Stuttgart · New York.

[The pregnant employee in anaesthesia and intensive care - An evidence-based approach to designing adequate workplaces].

PubMed

Röher, Katharina; Göpfert, Matthias S

2015-07-01

In the light of a rising percentage of women among employees in anaesthesia and intensive care designing adequate workplaces for pregnant employees plays an increasingly important role. Here it is necessary to align the varied interests of the pregnant employee, fellow employees and the employer, where the legal requirements of the Maternity Protection Act ("Mutterschutzgesetz") form the statutory framework. This review describes how adequate workplaces for pregnant employees in anaesthesia and intensive care can be established considering the scientific evidence on the subject. © Georg Thieme Verlag Stuttgart · New York.

Technical Note: evaluation of the uncertainties in (choline + creatine)/citrate ratios measured by proton MR spectroscopic imaging in patients suspicious for prostate cancer.

PubMed

Zbýň, Š; Krššák, M; Memarsadeghi, M; Gholami, B; Haitel, A; Weber, M; Helbich, T H; Trattnig, S; Moser, E; Gruber, S

2014-07-01

The presented evaluation of the relative uncertainty (δ'CCC) of the (choline + creatine)/citrate (CC/C) ratios can provide objective information about the quality and diagnostic value of prostate MR spectroscopic imaging data. This information can be combined with the numeric values of CC/C ratios and provides metabolic-quality maps enabling accurate cancer detection and user-independent data evaluation. In addition, the prostate areas suffering most from the low precision of CC/C ratios (e. g., prostate base) were identified. © Georg Thieme Verlag KG Stuttgart · New York.

Large-scale visualization projects for teaching software engineering.

PubMed

Müller, Christoph; Reina, Guido; Burch, Michael; Weiskopf, Daniel

2012-01-01

The University of Stuttgart's software engineering major complements the traditional computer science major with more practice-oriented education. Two-semester software projects in various application areas offered by the university's different computer science institutes are a successful building block in the curriculum. With this realistic, complex project setting, students experience the practice of software engineering, including software development processes, technologies, and soft skills. In particular, visualization-based projects are popular with students. Such projects offer them the opportunity to gain profound knowledge that would hardly be possible with only regular lectures and homework assignments.

The U.S. Air Service in World War I. Volume IV. Postwar Review,

DTIC Science & Technology

1979-01-01

19, 1914 12 M 10 No 1)iinag S-ept. 10, 1416 2 P)ITt is Nil Dama~e Aug 13, 1918H 1145 pmn 16 D~ouble track dietruyrd, 17 hours to rCliAtt St2516, 1918 ...this use of its bombing aviation) as carried out in the war of 1914 - 1918 is the lack of a predetermined program carefully calculated to destroy by...History," R-I, the correction Stuttgart, with munition works (23 August 1914 to 26 being the addition of the at Oberndorf as the alternate September 1918

[Shortage of physicians in anaesthesiology and intensive care medicine - Causes, consequences and solutions].

PubMed

Papenfuß, Tim; Roch, Carmen

2012-05-01

74% of all hospitals had vacant positions in 2011, also departments of anaesthesiology and intensive care medicine. More than 50% of these departments work with locums. There are couple of reasons for the shortage of physicians. The consequences in anaesthesiology and intensive care medicine can result in qualitative and financial loss. To solve the shortage of physicians one has to solve the reasons. Main reasons are increasing feminization of medical profession and part-time-work, work-life-balance and a poor specialised education. © Georg Thieme Verlag Stuttgart · New York.

Fatal EBV infection and variable clinical manifestations in an XLP-1 pedigree - rapid diagnosis of primary immunodeficiencies may save lives.

PubMed

Sperl, D; Benesch, M; Urban, C; Lackner, H; Sovinz, P; Speicher, M R; Uhrig, S; Schwarzbraun, T; Schwinger, W; zur Stadt, U; Beutel, K; Janka, G; Scarpatetti, M; Seidel, M G

2012-10-01

Two related boys who died from fulminant infectious mononucleosis were diagnosed with X-linked lymphoproliferative disease type 1 (XLP-1). Family screening (n=17) identified 6 female mutation carriers and 2 more XLP-1 patients in whom, despite recurrent infections, agammaglobulinemia, and Hodgkin's Disease, the genetic basis had been unknown; demonstrating that awareness and early genetic testing are crucial to reveal underlying primary immunodeficiencies and improve outcome. Furthermore, XLP should be included routinely in the differential diagnosis of severe hypogammaglobulinemia and/or lymphoma in males. © Georg Thieme Verlag KG Stuttgart · New York.

[Natural science vs. natural philosophy: Friedrich Theodor von Frerichs and the emergence of modern western medicine in the 19th century].

PubMed

Hansen, Werner

2016-12-01

The beginnings of modern western medicine reach to about 1800 when under the liberating influence of French Revolution observation of diseases was started to follow more scientifically justified criteria. At that time speculative doctrines prevailed, e. g. those set up natural philosopher Schelling. In this context Internist Friedrich Theodor von Frerichs at Berlin Charité University Hospital gained great merits because of his struggle for a scientifically-based experimental clinical medicine. This is demonstrated nicely in a recently found autograph document. © Georg Thieme Verlag KG Stuttgart · New York.

[Prevention of mental disorders].

PubMed

Riedel-Heller, Steffi; Gühne, Uta

2013-12-01

Investment in prevention is a major public health requirement. Mental disorders are common and are associated with severe consequences. They are a major target for prevention. Based on vulnerabilitiy-stress-models the theoretical background for prevention in mental disorders is outlined. Effective strategies for children, adolescents, adults and individuals in old age do exist. Results regarding the prevention of depres-sion and psychoses are outlined and risk groups which require current actions are determined. Current activities towards a national prevention strategy in Germany are discussed. © Georg Thieme Verlag KG Stuttgart · New York.

[More Health in Urban Districts: The Integration of Health Promotion in Urban Development].

PubMed

Reimann, B; Böhme, C

2015-09-01

Poverty represents a considerable health risk. As social- and health-related disadvantages are spatially concentrated, municipalities must take up the task of forging a stronger link between urban district development and health promotion than has thus far been the case. Moreover, they must put health promotion as part of urban district development as an item on the agenda. The present contribution illustrates in which ways health promotion in disadvantaged urban districts and its scientific monitoring and evaluation can be successful. © Georg Thieme Verlag KG Stuttgart · New York.

[Capacity Building for Prevention and Health Promotion for Children and Parents in a Deprived Urban Quarter: Lenzgesund].

PubMed

Süß, W; Nickel, S; Wolf, K; Trojan, A

2015-09-01

In 2005 the local health authority Hamburg-Eimsbüttel developed a prevention programme for the disadvantaged quarter "Lenzsiedlung" which has been implemented by the stakeholders committee "Round Table Lenzgesund" and other partners led by the health authority. The Department of Medical Sociology and Health Economics of the University Medical Centre had taken on the accompanying analysis and long-term evaluation with a mixture of qualitative and quantitative methods for health reporting and evaluation and a new instrument for measuring capacity building in the quarter (KEQ). © Georg Thieme Verlag KG Stuttgart · New York.

[Improving Health Care for Patients with Somatoform and Functional Disorders: A Collaborative Stepped Care Network (Sofu-Net)].

PubMed

Shedden-Mora, Meike; Lau, Katharina; Kuby, Amina; Groß, Beatrice; Gladigau, Maria; Fabisch, Alexandra; Löwe, Bernd

2015-07-01

The management of somatoform disorders in primary care is often limited due to low diagnostic accuracy, delayed referral to psychotherapy and overuse of health care. To address these difficulties, this study aimed to establish a collaborative stepped health care network (Sofu-Net). Sofu-Net was established among 41 primary care physicians, 35 psychotherapists and 8 mental health clinics. Baseline assessment in primary care showed elevated psychopathology and deficits in health care among patients with somatoform symptoms. Network partners provided positive evaluations of Sofu-Net. © Georg Thieme Verlag KG Stuttgart · New York.

[Causes, Diagnostic and Therapeutical Procedures of Malassimilation].

PubMed

Schröder, Torsten; Kistenmacher, Alina; Smollich, Martin; Sina, Christian

2018-05-01

Patients with malassimilation suffer from disturbed exploitation of available nutrients, which can affect macro- and micronutrients. Malassimilation can be subdivided in maldigestion and malabsorption. Many different disorders, especially gastrointestinal diseases, can lead to malassimilation. The wide variety of differential diagnoses necessitates big diagnostic as well as financial efforts in order to assure good clinical care. This review provides an overview on diagnostic as well as therapeutic processes of patients with malassimilation and gives practical advice for their physicians and therapists. © Georg Thieme Verlag KG Stuttgart · New York.

[Case report - a dangerous intoxication after ingestion of alkyl nitrite ("poppers")].

PubMed

Bernasconi, Barbara; Konrad, Christoph; Fischer, Simon

2014-12-01

This case report describes the inadvertent poisoning of a young man with "poppers" after having ingested an unknown amout of the drug. "Poppers" (alkyl nitrite) were made famous in the 1960s as a party drug, and during certain sexual practices, and are still in use today. The drug's inhalation leads to a short-lived rush, vasodilation and relaxtion of smooth muscles. An accidental ingestion can lead to a significant build-up of methemoglobin with dire consequences. The therapy consists of the intravenous administration of methylene blue. © Georg Thieme Verlag Stuttgart · New York.

[Each person has to make their own individual decision - arguments for physician assisted suicide].

PubMed

Posa, Andreas

2016-06-01

Since November 2015, businesslike assisted suicide is punishable in Germany. But who acts businesslike? The majority of the German population prefers to make own decisions about the circumstances of their arriving death, and many of them would also accept (physician) assisted suicide if necessary. Only a minority of physicians plead for prohibiting assisted suicide in general. In the end everyone should be able to take position on his own. No one is obliged to use or execute assisted suicide. © Georg Thieme Verlag KG Stuttgart · New York.

[Representations of Care of Migrants from the former Soviet Union with Alcohol or Drug Problems in Germany].

PubMed

Röhnsch, Gundula; Flick, Uwe

2015-10-01

Which representations of care can be found in migrants with alcohol or drug problems from the former Soviet Union? How do they correspond with views in the care system? Episodic interviews with 46 migrants, expert interviews with 33 service providers; analysis with thematic coding. For migrants and experts holistic care is important, which include spiritual-religious components but are also control-oriented. The cultural specificity of migrants' care representations should be acknowledged by the health care system much more. © Georg Thieme Verlag KG Stuttgart · New York.

[First aid and management of multiple trauma: in-hospital trauma care].

PubMed

Boschin, Matthias; Vordemvenne, Thomas

2012-11-01

Injuries remain the leading cause of death in children and young adults. Management of multiple trauma patients has improved in recent years by quality initiatives (trauma network, S3 guideline "Polytrauma"). On this basis, strong links with preclinical management, structured treatment algorithms, training standards (ATLS®), clear diagnostic rules and an established risk- and quality management are the important factors of a modern emergency room trauma care. We describe the organizational components that lead to successful management of trauma in hospital. © Georg Thieme Verlag Stuttgart · New York.

Chronic calcific constrictive pericarditis complicating Churg-Strauss syndrome: first reported case.

PubMed

Aboukhoudir, Falah; Pansieri, Michel; Rekik, Sofiene

2014-10-01

Churg-Strauss syndrome is a necrotizing systemic vasculitis characterized by extravascular granulomas and eosinophilic infiltrates of small vessels. Although cardiac complications are considered to be relatively common, no case of constrictive calcified pericarditis has ever been previously described in this setting. In this report, we present the case of a 46-year-old man with Churg-Strauss syndrome, in whom we were able to document the development of symptomatic calcific constrictive pericarditis during a 10-year period despite long-term corticosteroid therapy. Georg Thieme Verlag KG Stuttgart · New York.

[Case report: Snake bite - an odd case].

PubMed

Evers, Bettina; Muth, Claus-Martin; Georgieff, Michael; Dinse-Lambracht, Alexander

2015-10-01

Emergency medical service is called by a 54-year-old man bitten by his rattlesnake. Upon initial survey we find the patient in a cardiopulmonary stable condition. He has bite marks and pain on his rapidly swelling middle finger of his right hand. Our initial treatment is immobilization of the patient. The snake raiser has already called the poison control center in Munich. By the help of this institution we bring him to a hospital having the right antivenom on hand. © Georg Thieme Verlag Stuttgart · New York.

[Effects of Behaviour-oriented Exercise Interventions as Supplement within Structured Health-care Programmes for Diabetes Mellitus Type 2 - A Quasi-experimental Multicentre Intervention Study].

PubMed

Eckert, K; Lange, M

2016-06-01

Exercise programs do not belong to standard treatment within disease management programmes for diabetes mellitus type 2, up to now. For these reason the effects of a 10-week behaviour-oriented exercise programme have been evaluated focusing on change in activity behaviour and health-related qualitiy of life. 202 patients took part in the investigation. There were significant inbetween group differences in some aspects of the outcome parameters. The study presents useful information on how to modify existing DMPs successfully for improving patient treatment. © Georg Thieme Verlag KG Stuttgart · New York.

[Gastro-Esophageal Reflux Disease and Malignant Progression - Equal Risk for Men and Women?

PubMed

Pech, O

2016-12-01

Gastroesophageal reflux disease (GERD) is highly prevalent in the Western world. Patients with GERD have a 10-fold increased risk to develop a Barrett's esophagus. Patients with Barrett's esophagus have a higher risk for an esophageal adenocarcinoma. Men have more severe reflux with a higher grade of inflammation and acid reflux. This seems to be the reason why men develop a Barrett's esophagus more frequently - the risk is approximately 2-3-fold and the risk for an esophageal adenocarcinoma is even 3-6 times higher. © Georg Thieme Verlag KG Stuttgart · New York.

Preparation, Surface Properties, and Therapeutic Applications of Gold Nanoparticles in Biomedicine.

PubMed

Panahi, Yunes; Mohammadhosseini, Majid; Nejati-Koshki, Kazem; Abadi, Azam Jafari Najaf; Moafi, Hadi Fallah; Akbarzadeh, Abolfazl; Farshbaf, Masoud

2017-02-01

Gold nanoparticles (AuNPs) due to their unique properties and manifold surface functionalities have been applied in bio-nanotechnology. The application of GNPs in recent medical and biological research is very extensive. Especially it involves applications such as detection and photothermalysis of microorganisms and cancer stem cells, biosensors; optical bio-imaging and observing of cells and these nanostructures also serve as practical platforms for therapeutic agents. In this review we studied all therapeutic applications of gold nanoparticles in biomedicine, synthesis methods, and surface properties. © Georg Thieme Verlag KG Stuttgart · New York.

[Renal denervation in refractory hypertension: joint statement of the German hypertension league DHL eV and the German societies of cardiology, angiology, nephrology and radiology].

PubMed

Vonend, Oliver; Böhm, Michael; Eckert, Siegfried; Hausberg, Martin; Rittger, Harald; Rump, Lars-Christian; Schmieder, Roland; Schulte, Karl-Ludwig; Schunkert, Heribert; Uder, Michael; Veelken, Roland; Vorwerk, Dierk; Weil, Joachim; Wenzel, Ulrich; Mahfoud, Felix

2015-03-01

Arterial hypertension is a major risk factor for cardiovascular mortality and remains insufficiently controlled in Germany. The sham controlled Symplicity HTN-3 trial did meet its primary safety endpoint but failed to meet its primary efficacy endpoint. Renal denervation can not replace established, well-proven therapies. It can only be used in selected truly resistant hypertensive patients as an additive approach and should be performed by specialized centers only. Randomized controlled trials are needed to further evaluate renal denervation. © Georg Thieme Verlag KG Stuttgart · New York.

[Brachycephaly in dog and cat: a "human induced" obstruction of the upper airways].

PubMed

Oechtering, G U; Schlüter, C; Lippert, J P

2010-07-01

Selective breeding for exaggerated features caused in many brachycephalic dog and cat breeds virtually a loss of the nose, with serious anatomical and functional consequences. In addition to respiratory and olfactory tasks, in dogs the nose is of vital importance for thermoregulation. As obligatory nose breathers, dogs suffer far more than humans when their nasal ventilation is restricted. An open discussion in the broad public has to motivate authorities and kennel clubs to recognize extreme brachycephalic breeding as seriously affecting animal health and welfare. Copyright Georg Thieme Verlag KG Stuttgart . New York.

[Impulsiveness Among Short-Term Prisoners with Antisocial Personality Disorder].

PubMed

Lang, Fabian U; Otte, Stefanie; Vasic, Nenad; Jäger, Markus; Dudeck, Manuela

2015-07-01

The study aimed to investigate the correlation between impulsiveness and the antisocial personality disorder among short-term prisoners. The impulsiveness was diagnosed by the Barratt Impulsiveness Scale (BIS). Short-term prisoners with antisocial personality disorder scored significant higher marks on the BIS total scale than those without any personality disorder. In detail, they scored higher marks on each subscale regarding attentional, motor and nonplanning impulsiveness. Moderate and high effects were calculated. It is to be considered to regard impulsivity as a conceptual component of antisociality. © Georg Thieme Verlag KG Stuttgart · New York.

[Competencies and Role Experiences of Peer Support - A Participatory Research Report].

PubMed

Heumann, Kolja; Schmid, Christine; Wilfer, Antje; Bolkan, Suzan; Mahlke, Candelaria; von Peter, Sebastian

2018-05-25

This study explores the peer support providers' competencies and role experiences. A multiple coding approach has been used to collaboratively analyze and discuss ethnographic material. Compared to other professionals, peer support provider engage with patients in a more open and less classificatory way. Their role is often unclear and defined by both more flexibility and dependencies. It is important to clearly define the competencies and roles of peer support providers and balance them with the expectations of the other professionals. © Georg Thieme Verlag KG Stuttgart · New York.

[Differential Diagnosis of Mediastinal and Hilar Lymphadenopathy with Focus on Occupational Diseases].

PubMed

Lux, H; Cavalcante, L Barreira; Baur, X

2018-06-01

Hilar and mediastinal lymphadenopathy may represent a diagnostic challenge in clinical practice. This article is intended to facilitate differential diagnosis by a systematic description of relevant pathologies, notably with occupational etiology. Clinical findings of relevant diseases, i. e. of tuberculosis, chronic beryllium disease, sarcoidosis, lung cancer, malignant lymphoma, Epstein-Barr virus infection, and histoplasmosis are compared.Case history, imaging and laboratory tests have important diagnostic impact. But also invasive methods can be necessary in order to exclude and prove malignancy, infection or autoimmune disease. © Georg Thieme Verlag KG Stuttgart · New York.

[Interaction of mental health and forced married migrants in Germany].

PubMed

Kizilhan, Jan

2015-11-01

The study examines the interaction of the forced married migrants and the frequency of the psychological illness. Forced-married and not forced-married migrants are compared concerning her psychological illness in psychosomatic clinics in Germany. Forced-married women reported significantly more about psychological illness and have undertaken on average at least four times a suicide attempt. Forced-married women suffer lifelong from this event and need, with taking into account cultural migration-specific aspects, special support in the psychosocial consultation and medical-therapeutic treatment. © Georg Thieme Verlag KG Stuttgart · New York.

[Psychiatric Rehabilitation - From the Linear Continuum Approach Towards Supported Inclusion].

PubMed

Richter, Dirk; Hertig, Res; Hoffmann, Holger

2016-11-01

Background: For many decades, psychiatric rehabilitation in the German-speaking countries is following a conventional linear continuum approach. Methods: Recent developments in important fields related to psychiatric rehabilitation (UN Convention on the Rights of People with Disabilities, theory of rehabilitation, empirical research) are reviewed. Results: Common to all developments in the reviewed fields are the principles of choice, autonomy and social inclusion. These principles contradict the conventional linear continuum approach. Conclusions: The linear continuum approach of psychiatric rehabilitation should be replaced by the "supported inclusion"-approach. © Georg Thieme Verlag KG Stuttgart · New York.

[Case Report: Opioid Therapy for Chronic Low Back Pain].

PubMed

Schnabel, Alexander; Haaga, Roland; Rittner, Heike L

2018-04-01

Within this case report we describe and discuss the treatment of a patient with chronic low back pain complaining about severe pain, reduced functionality and symptoms of depression, who was treated with long-term opioids (480 mg morphine equivalents). According to the recommendation of current guidelines we successfully reduced the opioid daily dose and discharged the patient with 28 mg morphine equivalents, improved physical functionality and reduced chronic pain intensity following a specific interdisciplinary pain rehabilitation programme for seniors. Georg Thieme Verlag KG Stuttgart · New York.

Flow simulations on an organ pipe foot model.

PubMed

Vaik, István; Paál, György

2013-02-01

The present paper shows numerical simulations of the flow responsible for the sound generation in an organ pipe. Only the foot model of the organ pipe (i.e., with the resonator detached) is investigated by two-dimensional incompressible CFD simulations. It is shown that in spite of the moderately high Reynolds number (Re≈2350) no turbulence modeling is necessary. Free jet simulation (foot model without the upper lip) showed that the jet oscillates due to its natural instability. The velocity profile, the centerline and the width of the jet is determined at different heights above the flue. Edge tone simulations (foot model with the upper lip) were carried out having the upper lip at a constant height but at different x positions. It was found that the strongest and most stable edge tone oscillation occurs if the lower left corner of the upper lip is in the centerline of the jet (optimum position). When the upper lip is far from its optimum position the oscillation of the jet is rather due to the natural instability of the jet than the edge tone phenomenon. The results agree well with the experimental results of Außerlechner et al. [J. Acoust. Soc. Am. 126, 878-886 (2009)] and Außerlechner (Ph.D. thesis, Universität Stuttgart, Stuttgart, Germany) and with former results of the authors [Paál and Vaik, Int. J. Heat Fluid Flow 28, 575-586 (2007); Paál and Vaik, in Conference on Modelling Fluid Flow (CMFF'09), Budapest, Hungary].

Bernoulli in the operating room: from the perspective of a cardiac surgeon.

PubMed

Matt, Peter

2014-12-01

The Bernoullis were one of the most distinguished families in the history of science. It was Daniel Bernoulli who applied mathematical physics to medicine to further his understanding of physiological mechanisms that have an impact even in today's high-end medicine. His masterwork was the analysis of fluid dynamics, which resulted in Bernoulli's law. Most important for cardiac surgery, it describes how a centrifugal pump works within an extracorporeal circulation, lays the basis for measuring a gradient over a stenotic heart valve, and explains how to measure the transit time flow within a bypass graft. Georg Thieme Verlag KG Stuttgart · New York.

Hereditary Orotic Aciduria and the Excretion of Orotidine.

PubMed

Nyhan, William L; Gangoiti, Jon A

2016-12-01

Objective  Orotic aciduria and deficiency of uridine monophosphate synthetase have been observed in a patient, studied over 10 years, who had no megaloblastic anemia. Excretion of orotic acid and orotidine were 8.24 and 0.52 mmol/mol of creatinine. The ratio of 15.85 differed appreciably from that of 6 patients reported with no megaloblastic anemia. Methods  The analysis of orotidine by gas chromotography mass spectrometry was conducted. Conclusion  Patients with orotic aciduria with and without megaloblastic anemia cannot be distinguished by ratio of orotic acid to orotidine. Georg Thieme Verlag KG Stuttgart · New York.

Clinical Sign for Missed Decompression of a Separate Extensor Pollicis Brevis Compartment in de Quervain's Disease.

PubMed

Benatar, Niels

2017-08-01

Persistent pain despite previous surgery for de Quervain's disease might be due to an overlooked septum between the abductor pollicis longus tendon slips and the extensor pollicis brevis tendon, or an overlooked completely separate compartment for the extensor pollicis brevis tendon alone. In both of these instances, extension of the MP joint of the thumb against resistance elicits pain at the distal level of the first extensor compartment of the wrist. When this sign is positive, revisional surgery and decompression of the remaining septum or separate compartment is indicated. © Georg Thieme Verlag KG Stuttgart · New York.

[Medical coverage of a road bicycle race].

PubMed

Reifferscheid, Florian; Stuhr, Markus; Harding, Ulf; Schüler, Christine; Thoms, Jürgen; Püschel, Klaus; Kappus, Stefan

2010-07-01

Major sport events require adequate expertise and experience concerning medical coverage and support. Medical and ambulance services need to cover both participants and spectators. Likewise, residents at the venue need to be provided for. Concepts have to include the possibility of major incidents related to the event. Using the example of the Hamburg Cyclassics, a road bicycle race and major event for professional and amateur cyclists, this article describes the medical coverage, number of patients, types of injuries and emergencies. Objectives regarding the planning of future events and essential medical coverage are consequently discussed. (c) Georg Thieme Verlag Stuttgart-New York.

A new bis-labdanic diterpene from the rhizomes of Alpinia pahangensis.

PubMed

Sivasothy, Yasodha; Ibrahim, Halijah; Paliany, Audra Shaleena; Alias, Siti Aisyah; Md Nor, Nurur Raudzah; Awang, Khalijah

2013-12-01

The rhizomes of Alpinia pahangensis yielded a new bis-labdanic diterpene for which the name pahangensin C (1) was proposed along with twelve known analogues (2-13). The structure of 1 was elucidated via spectroscopic methods including 1D and 2D NMR techniques and LCMS-IT-TOF analysis. Compounds 2 and 12 were isolated for the first time from the genus Alpinia. This is the second occurrence of compounds 2 and 12 in the Zingiberaceae family. Selected analogues exhibited moderate to strong inhibitory activity against Staphylococcus aureus and Bacillus cereus. Georg Thieme Verlag KG Stuttgart · New York.

From POEM to POET: Applications and perspectives for submucosal tunnel endoscopy.

PubMed

Chiu, Philip W Y; Inoue, Haruhiro; Rösch, Thomas

2016-12-01

Recent advances in submucosal endoscopy have unlocked a new horizon for potential development in diagnostic and therapeutic endoscopy. Increasing evidence has demonstrated that peroral endoscopic myotomy (POEM) is not only clinically feasible and safe, but also has excellent results in symptomatic relief of achalasia. The success of submucosal endoscopy in performance of tumor resection has confirmed the potential of this new area in diagnostic and therapeutic endoscopy. This article reviews the current applications and evidence, from POEM to peroral endoscopic tunnel resection (POET), while exploring the possible future clinical applications in this field. © Georg Thieme Verlag KG Stuttgart · New York.

[Stealing as an Impulse Control Disorder Associated with Pramipexole - A Case Report from Forensic Psychiatric Practice].

PubMed

Clemm von Hohenberg, Christian; Dreßing, Harald

2017-04-01

We report the case of a 48-year-old female whom we examined for legal culpability. The proband was taking the dopamine agonist pramipexole as a treatment for Parkinson's disease. In temporal association, she had committed numerous shoplifting offences.While pathological gambling, excessive shopping and hypersexuality have often been described as adverse effects of dopamine agonists, there are only few reports about impulsive stealing in this context.We discuss the synergy of the pharmacological effects with familial, biographic and social factors, suggesting a bio-psycho-social etiology. © Georg Thieme Verlag KG Stuttgart · New York.

[Guideline for the Diagnosis and Treatment of Asthma - Guideline of the German Respiratory Society and the German Atemwegsliga in Cooperation with the Paediatric Respiratory Society and the Austrian Society of Pneumology].

PubMed

Buhl, R; Bals, R; Baur, X; Berdel, D; Criée, C-P; Gappa, M; Gillissen, A; Greulich, T; Haidl, P; Hamelmann, E; Kardos, P; Kenn, K; Klimek, L; Korn, S; Lommatzsch, M; Magnussen, H; Nicolai, T; Nowak, D; Pfaar, O; Rabe, K F; Riedler, J; Ritz, T; Schultz, K; Schuster, A; Spindler, T; Taube, C; Taube, K; Vogelmeier, C; von Leupold, A; Wantke, F; Weise, S; Wildhaber, J; Worth, H; Zacharasiewicz, A

2017-12-01

The present guideline is a new version and an update of the guideline for the diagnosis and treatment of asthma, which replaces the previous version for german speaking countries from the year 2006. The wealth of new data on the pathophysiology and the phenotypes of asthma, and the expanded spectrum of diagnostic and therapeutic options necessitated a new version and an update. This guideline presents the current, evidence-based recommendations for the diagnosis and treatment of asthma, for children and adolescents as well as for adults with asthma. © Georg Thieme Verlag KG Stuttgart · New York.

[S2k-Guideline on Meniscus Diseases: from Aetiology to Scoring].

PubMed

Siebert, C H; Becker, R; Buchner, M; Förster, J; Frosch, K-H; Losch, A; Niemeyer, P; Scheffler, S

2017-04-01

The number of patients with meniscal injuries is increasing constantly, but the treatment algorithms are undergoing continuous change. The effects of meniscal surgery, as well as the indications for the procedure, are currently a matter of heated debate. Various German speaking associations addressing topics related to the knee have joined forces to develop guidelines for the diagnosis, evaluation and therapy of meniscal lesions. The hope is that this first of two publications will shed light on some of the ongoing issues and offer guidance to health care professionals treating these patients. Georg Thieme Verlag KG Stuttgart · New York.

Synthesis of Novel tricyclic pyrazolo(1,4)oxathiinopyrazines and Evaluation of Their Competency Towards the Inhibition of Lactate Dehydrogenase Activity-Inhibition of LDH Activity.

PubMed

Mukherjee, Prasun; Das, Asish R; Mishra, Raghwendra; Bhowmick, Shovonlal; Saha, Achintya

2018-06-12

We have evaluated the LDH inhibitory property of novel pyrazolo[4',3':5,6][1,4]oxathiino[2,3-b]pyrazine derivatives which have been synthesized from easily available starting materials through a one-pot protocol that offers the use of elemental sulfur as the sulfur source. These newly synthesized compounds may aid to drug development for neoplastic and non-neoplastic diseases characterized by increased glucose metabolism. Additionally, they may act as suitable starting materials which can be further structurally modified for the development of new LDH inhibitors with higher efficacy and specificity. © Georg Thieme Verlag KG Stuttgart · New York.

Identification of Fabaceae plants using the DNA barcode matK.

PubMed

Gao, Ting; Sun, Zhiying; Yao, Hui; Song, Jingyuan; Zhu, Yingjie; Ma, Xinye; Chen, Shilin

2011-01-01

In this study, we tested the applicability of the core DNA barcode MATK for identifying species within the Fabaceae family. Based on an evaluation of genetic variation, DNA barcoding gaps, and species discrimination power, MATK is a useful barcode for Fabaceae species. Of 1355 plant samples collected from 1079 species belonging to 409 diverse genera, MATK precisely identified approximately 80 % and 96 % of them at the species and genus levels, respectively. Therefore, our research indicates that the MATK region is a valuable marker for plant species within Fabaceae. © Georg Thieme Verlag KG Stuttgart · New York.

In Vivo Use of 1D and 2D 1H NMR to Examine the Glycosylation of Scopoletin in Duboisia myoporoides Cell Suspensions.

PubMed

Fliniaux, Ophélie; Roscher, Albrecht; Cailleu, Dominique; Mesnard, François

2018-06-14

Cell suspensions initiated from Duboisia myoporoides -a shrub belonging to the Solanaceae family and being a rich source of tropane alkaloids-previously showed their ability to glycosylate scopoletin into scopolin, which represent coumarins showing health benefits. To investigate the time course of this glycosylation reaction, an in vivo NMR approach was developed using a perfusion system in an 8-mm NMR tube and 1 H NMR with 1D and 2D (TOCSY and NOESY) experiments. The time course of metabolic changes could therefore be followed without any labeling. Georg Thieme Verlag KG Stuttgart · New York.

Effect of Physical Exercise on Platelet Reactivity in Patients with Dual Antiplatelet Therapy.

PubMed

Brunner, Stefan; Rizas, Konstantinos; Hamm, Wolfgang; Mehr, Michael; Lackermair, Korbinian

2018-06-14

It is known that physical exercise may increase platelet activity. However, the effect of exercise on platelet reactivity in patients on dual antiplatelet therapy has not been investigated yet. In our study, 21 patients with coronary artery disease on dual antiplatelet therapy and 10 controls were enrolled. We performed an exercise test using a cycle ergometer and determined the adenosine diphosphate-induced platelet reactivity before and immediately after exercise testing. Additionally, we analysed maximal exercise capacity and an electrocardiogram. Further, we assessed chromogranin A and P-selectin levels and platelet counts. © Georg Thieme Verlag KG Stuttgart · New York.

[The EU drinking water recommendations: objectives and perspectives].

PubMed

Blöch, H

2011-12-01

Protection of our drinking water resources and provision of safe drinking water are key requirements of modern water management and health policy. Microbiological and chemical quality standards have been established in the EU water policy since 1980, and are now complemented by a comprehensive protection of water as a resource. This contribution reflects a presentation at the scientific conference of the Federal Associations of Physicians and Dentists within the Public Health Service in May 2011 and provides an overview on objectives and challenges for drinking water protection at the European level. © Georg Thieme Verlag KG Stuttgart · New York.

[Safe Vascular Access - the Guideline of the Association of Anaesthesists of Great Britain and Ireland 2016].

PubMed

Bergmann, Lars

2018-06-01

This guideline was presented in 2016 due to the need for an up to date evidence-based guidance focusing on patient safety. In addition to safety-related aspects of catheter insertion or removal, organisational issues and structured training concepts were discussed. The guideline was created based on the review of current literature as well as expert opinion. The article summarizes and discusses the most important recommendations and the reader is provided with practical advice for catheter insertion or removal with the intention to improve the safety of the patients. Georg Thieme Verlag KG Stuttgart · New York.

α-Glucosidase inhibitory activities of isoflavanones, isoflavones, and pterocarpans from Mucuna pruriens.

PubMed

Dendup, Tshewang; Prachyawarakorn, Vilailak; Pansanit, Acharavadee; Mahidol, Chulabhorn; Ruchirawat, Somsak; Kittakoop, Prasat

2014-05-01

Three new isoflavanones (1-3) and thirteen known compounds (4-16) were isolated from the roots of Mucuna pruriens. The absolute configurations of isoflavanones 1-3 and parvisoflavanone (4), lespedeol C (5), and uncinanone C (6) were addressed by a circular dichroism technique. Isoflavanones, isoflavones, and pterocarpans of M. pruriens were found to be α-glucosidase inhibitors. Medicarpin (7) and parvisoflavone B (9) were potent α-glucosidase inhibitors (twofold less active than the standard drug acarbose). The production of bioactive metabolites in M. pruriens seems to be season-dependent. Georg Thieme Verlag KG Stuttgart · New York.

Density functional theory study of ethylene partial oxidation on Ag 7 clusters

NASA Astrophysics Data System (ADS)

Yu, Hua-Gen

2006-11-01

The partial oxidation reaction of ethylene on neutral and anionic Ag 7 clusters has been studied using the BPW91 hybrid DFT method with the Stuttgart RSC97 relativistic pseudopotential for the 28-electron ionic core of Ag. The atomic oxygen reaction mechanism is mainly addressed. Results show that the reaction occurs via a stable oxametallacycle intermediate ( AgOCH4p, p = 0 or -1), but it involves small reaction barriers along the reaction path. The ZPE-corrected barrier heights are obtained as 0.7-6.5 kcal/mole. In addition, the structure and anionic effects of Ag 7 clusters are also discussed.

Alkaloids from roots of Stephania rotunda and their cholinesterase inhibitory activity.

PubMed

Hung, Tran Manh; Dang, Nguyen Hai; Kim, Jin Cheol; Jang, Han-Su; Ryoo, Sung-Woo; Lee, Jeong Hyung; Choi, Jae Sue; Bae, Kihwan; Min, Byung Sun

2010-10-01

In the course of screening plants used in folk medicine as memory enhancers, a 70% ethanolic extract of Stephania rotunda roots showed significant AChE inhibitory activity. Repeated column chromatography led to the isolation of a new protoberberine alkaloid, which we named stepharotudine (1), and seven known compounds (2-8). The chemical structures of the isolated compounds were elucidated based on extensive 1D and 2D NMR spectroscopic data. Compounds 1-8 were investigated in vitro for their anticholinesterase activity using a rat cortex AChE enzyme. © Georg Thieme Verlag KG Stuttgart · New York.

[Gastro-esophageal Reflux Disease and malignant progression--equal risk for men and women?].

PubMed

Pech, O

2015-08-01

Gastroesophageal reflux disease (GERD) is highly prevalent in the Western world. Patients with GERD have a 10 fold increased risk to develop a Barrett's esophagus. Patients with Barrett's esophagus have a higher risk for an esophageal adenocarcinoma. Men have more severe reflux with a higher grade of inflammation and acid reflux. This seems to be the reason why men develop a Barrett's esophagus more frequently--the risk is approximately 2 to 3 fold and the risk for an esophageal adenocarcinoma is even 3 to 6 times higher. © Georg Thieme Verlag KG Stuttgart · New York.

Cytotoxic triterpenoid saponins from the rhizomes of Anemone taipaiensis.

PubMed

Wang, Xiao-Yang; Chen, Xiao-Li; Tang, Hai-Feng; Gao, Hui; Tian, Xiang-Rong; Zhang, Ping-Hu

2011-09-01

Two new oleanane-type triterpenoid saponins, 1 and 2, and a new natural product, 3, together with five known saponins, 4- 8, were isolated from the rhizomes of ANEMONE TAIPAIENSIS. Their structures were elucidated by extensive spectroscopic analysis and chemical evidences. Six saponins, 1, 2, 4- 7, which possessed a free carboxylic group at C-28, exhibited significant cytotoxicity against human leukemia HL-60 cells and human hepatocellular carcinoma Hep-G2 cells with IC (50) values in the range of 1.31-10.12 µM. © Georg Thieme Verlag KG Stuttgart · New York.

[The cutaneous groin flap for coverage of a full-thickness abdominal wall defect].

PubMed

Doebler, O; Spierer, R

2010-08-01

A full-thickness defect of the abdominal wall is rare and may occur as a complication of extended abdominal surgery procedures. We report about a 69-year-old patient who was presented to our department with a full-thickness abdominal wall defect and a fully exposed collagen-mesh for reconstructive wound closure. 13 operations with resections of necrotic parts of the abdominal wall were performed following a complicated intraabdominal infection. After debridement and mesh explantation, closure of the remaining defect of the lower abdominal region was achieved by a cutaneous groin flap. Georg Thieme Verlag KG Stuttgart New York.

[The taking and transport of biological samples].

PubMed

Kerwat, Klaus; Kerwat, Martina; Eberhart, Leopold; Wulf, Hinnerk

2011-05-01

The results of microbiological tests are the foundation for a targetted therapy and the basis for monitoring infections. The quality of each and every laboratory finding depends not only on an error-free analytical process. The pre-analysis handling procedures are of particular importance. They encompass all factors and influences prior to the actual analysis. These include the correct timepoint for sample taking, the packaging and the rapid transport of the material to be investigated. Errors in the pre-analytical processing are the most frequent reasons for inappropriate findings. © Georg Thieme Verlag Stuttgart · New York.

Lactobacillus alimentarius sp. nov., nom rev. and Lactobacillus farciminis sp. nov., nom. rev.

PubMed

Reuter, G

1983-01-01

In 1970 two new species within the so-called subgenus "Streptobacterium" Orla-Jensen of the genus Lactobacillus were described (Reuter, 1970). They were named L. alimentarius with the type strain "R 13" (DSM 20249) and L. farciminis with the type strain "Rv 4na" (DSM 20184). Since these two names have so far not been included in the "Approved Lists of Bacterial Names" (Skerman et al., 1980) they are revived for the same organisms with the same type strains. Copyright © 1983 Gustav Fischer Verlag, Stuttgart/New York. Published by Elsevier GmbH.. All rights reserved.

[A Roman orbital implant?].

PubMed

Rohrbach, J M; Harbeck, M; Holzhauser, P; Tekeva-Rohrbach, C I; Mach, M; Codreanu-Windauer, S

2012-11-01

During an excavation in Regensburg/Germany the skeleton of an approximately 20-year-old Roman man was found who was buried in the 3rd/4th century after Christ. A "stone" was found which fitted into the left orbit precisely. After a thorough investigation of the "stone" and with the ophthalmohistorical literature in mind an orbital "implant" as well as a petrified medical paste ("Kollyrium") could be ruled out almost with certainty. Possibly the "stone" served another medical purpose or was used for protection of the eye. Georg Thieme Verlag KG Stuttgart · New York.

[Home treatment: systematic review and implementation in Germany].

PubMed

Gühne, Uta; Weinmann, Stefan; Arnold, Katrin; Atav, Esra-Sultan; Becker, Thomas; Riedel-Heller, Steffi

2011-04-01

To report about existing evidence of effectiveness of home treatment for severely mentally ill adults and implementation in Germany. Systematic electronic and manual literature search. Compared to standard care, home treatment was equally or more efficacious with respect to general state of health and mental health. Home treatment was superior with regard to other outcomes. So far, implementation in Germany is limited. Home treatment can be seen as an effective addition to existing approaches of psychiatric care. It may be cost-effective also in Germany. Reasons for limited implementation in routine care are discussed. © Georg Thieme Verlag KG Stuttgart · New York.

[Emerging viral diseases in Europe].

PubMed

Löbermann, M; Gürtler, L G; Eichler-Löbermann, B; Reisinger, E C

2012-04-01

Emergence of viral agents in Europe is influenced by various factors. Climatic changes influencing possible vectors, insufficient vaccination, and travel of man and goods are among the most important reasons to explain these changes. Fever and arthralgia are the leading symptoms in infection with Dengue, Sindbis, or Chikungunya virus. In contrast, tick-born encephalitis (TBE), Toscana, or West Nile virus infections mainly lead to meningo-encephalitis. In Europe, hemorrhagic fever is caused by Crimean Congo and Hanta virus. Protective vaccines are available for emerging viral agents like TBE, influenza and measles. © Georg Thieme Verlag KG Stuttgart · New York.

[ISO 9001:2015 Certification in Quality Management].

PubMed

Enders, Christian; Lang, Gabriele E; Lang, Gerhard K; Werner, Jens Ulrich

2017-07-01

Quality management improves the structures, processes and results of organizations of all kinds. Many practices and clinics have their existing quality management system certified according to ISO 9001, (e.g., to check their own quality management system or to obtain a testimonial against third parties). The latest version ISO 9001:2015 contains some changes, both structurally and in terms of content. These changes can be met with reasonable efforts. An ISO 9001:2015 certification represents a value for your organization, but these advantages are often not directly measurable. Georg Thieme Verlag KG Stuttgart · New York.

[Prevention and Treatment of Eating Disorders: The Health Care Network Anorexia and Bulimia nervosa].

PubMed

Weigel, Angelika; Gumz, Antje; Kästner, Denise; Romer, Georg; Wegscheider, Karl; Löwe, Bernd

2015-07-01

The "Health care network anorexia and bulimia nervosa", a subproject of psychenet - the Hamburg network for mental health - aims to decrease the incidence of eating disorders as well as the risk for chronic illness courses. One focal project, therefore, evaluates a school-based prevention manual in a randomized controlled trial. The other one examines the impact of a systemic public health intervention on early treatment initiation in anorexia nervosa. The present article provides an overview about study design and interventions in both focal projects as well as preliminary results. © Georg Thieme Verlag KG Stuttgart · New York.

[Transfer and Implementation of Innovative Awareness and Education Measures, e-Mental Health and Care Models in psychenet - Hamburg Network for Mental Health].

PubMed

Lambert, Martin; Härter, Martin; Brandes, Andreas; Hillebrandt, Bernd; Schlüter, Catarina; Quante, Susanne

2015-07-01

The Hamburg Network for Mental Health belongs to the healthcare regions in Germany, funded by the Federal Ministry of Education and Research from 2011 to 2015. More than 330 partners from research, health care, health industry and government are promoting innovative health care models and products to improve mental health care in Hamburg. The main objectives comprise the sustained implementation of the Network itself and of successful health care models and products. The article describes current and future implementation possibilities and the present state of the implementation process. © Georg Thieme Verlag KG Stuttgart · New York.

[Pediatric bipolar disorder - case report of a bipolar patient with disease onset in childhood and adolescence: implications for diagnosis and therapy].

PubMed

Lackner, N; Birner, A; Bengesser, S A; Reininghaus, B; Kapfhammer, H P; Reininghaus, E

2014-11-01

In recent years, intense controversies have evolved about the existence and exact diagnostic criteria of pediatric bipolar affective disorder. The present study aims to discuss pediatric bipolar affective disorder based on the current literature focussing on the diagnostic prospects. Based on a case study, a process of bipolar disorder developed in childhood is depicted exemplarily. Because of the high comorbidity and overlapping symptoms of paediatric bipolar affective disorder and other psychiatric disorders, the major impact of the differential diagnosis has to be stressed. An early diagnosis and the treatment possibilities are discussed. © Georg Thieme Verlag KG Stuttgart · New York.

[Health risk railroad noise - prognosis of potential health risks subsequent to night-time exposure to railroad noise in the German part of the Transversal Rotterdam Genova].

PubMed

Greiser, E

2014-12-01

Based on risk coefficients for cardiovascular and psychiatric disease derived from a case-control study in the vicinity of a major German airport, statistics on persons exposed to night-time railroad noise in the vicinity of the Rotterdam-Genova Transversal, and on health expenditure calculations by the Federal Statistical Office of Germany a prognosis on effects of railroad noise was performed. It resulted for 1 10-year period in nearly 75 000 excess cases of diseases, nearly 30 000 excess deaths and health expenditures of 3.8 billion euros. © Georg Thieme Verlag KG Stuttgart · New York.

[Mental Health and Quality of Life of Immigrants and their Descendants in the SOEP in the Years 1984-2016].

PubMed

Liebau, Elisabeth

2016-09-01

The Socio-Economic Panel (SOEP) has outstanding analytical potential for research on immigrants' mental health and quality of life. This article examines the quality of sampling, the composition and percentage of respondents in the SOEP sample with an immigrant background, and the indicators available in the SOEP on topics of mental health and quality of life. The concluding overview of the existing literature on these topics and of the SOEP's new refugee sub-sample underscores that the SOEP's potential for addressing these questions is far from exhausted. © Georg Thieme Verlag KG Stuttgart · New York.

[Strategic planning: an important economic action for German hospitals].

PubMed

Wiese, Christoph H R; Zink, Wolfgang; Russo, Sebastian G

2011-11-01

In medical systems, economic issues and means of action are in the course of dwindling human (physicians and nurses) and financial resources are more important. For this reason, physicians must understand basic economic principles. Only in this way, there may be medical autonomy from social systems and hospital administrators. The current work is an approach to present a model for strategic planning of an anesthesia department. For this, a "strengths", "weaknesses", "opportunities", and "threats" (SWOT) analysis is used. This display is an example of an exemplary anaesthetic department. © Georg Thieme Verlag Stuttgart · New York.

[Burden and health effects of shift work].

PubMed

Heitmann, Jörg

2010-10-01

In Germany aprox. 15% of all employees have irregular or flexible working hours. Disturbed sleep and/or hypersomnia are direct consequences of shift work and therefore described as shift work disorder. Beyond this, shift work can also be associated with specific pathological disorders. There are individual differences in tolerance to shift work. Optimization of both shift schedules and sleep to "non-physiological" times of the day are measures to counteract the negative effects of shift work. There is still not enough evidence to recommend drugs for routine use in shift workers. © Georg Thieme Verlag Stuttgart · New York.

Progress in the treatment of Ewing sarcoma: are the rumors of the demise of cytotoxic chemotherapy premature?

PubMed

Rosen, G

2015-05-01

In this issue, Bollling et. al. review the development of treatment of Ewing sarcoma as it evolved over the past 30 years of clinical trials in Europe, largely under the leadership of Heribert Jurgens to whom this review is dedicated. The 44 authors were teachers, colleagues, students and co-investigators of Jurgens. The authors attribute the ability to make progress in the treatment of Ewing sarcoma through the establishment of larger and still larger cooperative studies in order to demonstrate statistically significant advances in the treatment of this rare disease. © Georg Thieme Verlag KG Stuttgart · New York.

[Diabetes in Pregnancy - Type 1/Type 2 Diabetes Mellitus and Gestational Diabetes Mellitus].

PubMed

Kleinwechter, Helmut; Demandt, Norbert

2016-09-01

In Germany in 5.5% of all births diabetes is registered. In patients with type 1 and type 2 diabetes planning pregnancy, preconception counseling, diabetologic care with optimized periconceptional metabolic control and folic acid supplementation are essential for good pregnancy outcome. Gestational diabetes (GDM) should be diagnosed timely and managed according to existing guidelines. GDM is treated with insulin in approximately 20%. In 1-2% of GDM cases a glucokinase gene mutation is present (MODY 2). Pregnancies after bariatric-metabolic surgery are increasing and show high risks. © Georg Thieme Verlag KG Stuttgart · New York.

A reflection on the implementation of a new curriculum in Indonesia: A crucial problem on school readiness

NASA Astrophysics Data System (ADS)

Suyanto, Slamet

2017-08-01

Indonesian government assigned a new curriculum in 2013, namely Curriculum of 2013 (C13). Recently, the implementation of the C13 has come up with a big controversy because it was setting back to the previous curriculum of KTSP (Scholl-based Curriculum) for majority of schools. Were the schools not ready to implement the curriculum of 2013? This research was a survey research to give evidence on the school readiness in implementing the new curriculum and to find the problems of the curriculum implementation. The samples of the research were 33 junior high schools from seven regencies in Indonesia. The respondents were 33 school principals and vice principals for curriculum affair, 200 teachers, and 200 students. The data were collected by using questionnaires, interview, and obsevation checklists. The data were taken during monitoring and evaluation programs facilitated by the Indonesian Directorate of Junior High School Development Management. The results indicates that (1) the readiness of the schools was 9 schools (27.27%) were ready, 17 schools (51.52%) were less ready, and 7 schools (21.21%) were not ready to implement the new curriculum; (2) the readiness of the schools was affected by the poor of the books' availability, only 23% of schools had complete student books, the number trained teachers, only 33% of teacher got training, the ICT access, only 17% of school have a good ICT access for all students, and teachers' understanding on the learning and assessment process, only 37% of teacher had good understanding on the new curriculum. The teacher had difficulties on (1) developing a lesson plan (16%), (2) using scientific approach (31,5%), (3) implementing authentic assessment (43,5%). Students mostly (78,5%) said that learning with the new curriculum is more difficult than it was before. Therefore, specific training on the new curriculum implementation is still needed.

Technical and economic evaluation of biogas capture and treatment for the Piedras Blancas landfill in Córdoba, Argentina.

PubMed

Francisca, Franco Matías; Montoro, Marcos Alexis; Glatstein, Daniel Alejandro

2017-05-01

Landfill gas (LFG) management is one of the most important tasks for landfill operation and closure because of its impact in potential global warming. The aim of this work is to present a case history evaluating an LFG capture and treatment system for the present landfill facility in Córdoba, Argentina. The results may be relevant for many developing countries around the world where landfill gas is not being properly managed. The LFG generation is evaluated by modeling gas production applying the zero-order model, Landfill Gas Emissions Model (LandGEM; U.S. Environmental Protection Agency [EPA]), Scholl Canyon model, and triangular model. Variability in waste properties, weather, and landfill management conditions are analyzed in order to evaluate the feasibility of implementing different treatment systems. The results show the advantages of capturing and treating LFG in order to reduce the emissions of gases responsible for global warming and to determine the revenue rate needed for the project's financial requirements. This particular project reduces by half the emission of equivalent tons of carbon dioxide (CO 2 ) compared with the situation where there is no gas treatment. In addition, the study highlights the need for a change in the electricity prices if it is to be economically feasible to implement the project in the current Argentinean electrical market. Methane has 21 times more greenhouse gas potential than carbon dioxide. Because of that, it is of great importance to adequately manage biogas emissions from landfills. In addition, it is environmentally convenient to use this product as an alternative energy source, since it prevents methane emissions while preventing fossil fuel consumption, minimizing carbon dioxide emissions. Performed analysis indicated that biogas capturing and energy generation implies 3 times less equivalent carbon dioxide emissions; however, a change in the Argentinean electrical market fees are required to guarantee the

Indirect Coupling of Magnetic Layers via Domain Wall Fringing fields

NASA Astrophysics Data System (ADS)

Parkin, Stuart

2001-03-01

Ferromagnetic films separated by thin metallic spacer layers are usually coupled through an indirect exchange interaction which oscillates in sign between ferro and antiferromagnetic coupling as a function of the spacer layer thickness^1. For both such metallic systems, and for multilayered systems in which the ferromagnetic films are separated by thin insulating layers, correlated roughness of the magnetic layers gives rise to a weak ferromagnetic coupling via dipole fields. Another type of dipolar coupling mechanism, which has largely been ignored, is that arising from domain wall fringing fields. These fields can be locally very large^2 and can result in the demagnetization of ferromagnetic films which are nominally highly coercive ("hard") in sandwiches comprised of "hard" and "soft" ferromagnetic layers. When the moment of the soft layer is reversed back and forth in small magnetic fields, much too small to affect the moment of the hard layer, substantial local fringing fields from domain walls created in the soft film gradually result in the demagnetization of the hard film. In some cases the moment of the hard layer decays in an oscillatory manner as it is successively partially demagnetized and remagnetized. This process has been observed on both macroscopic and microscopic length scales using SQUID magnetometry and high resolution photoemission electron microscopy, respectively^3. Magnetic interactions from domain wall fringing fields may be very important for magnetic devices, especially, magnetoresistance sensors and memory elements. [1] S.S.P. Parkin, N. More and K.P. Roche, Phys. Rev. Lett. 64, 2304 (1990); S.S.P. Parkin, Phys. Rev. Lett., 67, 3598 (1991). [2] L. Thomas, M. Samant and S.S.P. Parkin, Phys. Rev. Lett. 84, 1816 (2000). [3] L. Thomas, J Lüning, A. Scholl, F. Nolting, S. Anders, J. Stöhr and S.S.P. Parkin, Phys. Rev. Lett. 84, 3462 (2000).

Man-Machine Interface in Tactical Aircraft Design and Combat Automation (Conference Proceedings Held in Stuttgart (Germany, F.R.) on 28 September-1 October 1987)

DTIC Science & Technology

1988-07-01

the large veiis in the legs and splanchnic region via the carotid sinus baroceptor reflex, and the distensibility charac- teristics of these veins (14...conditioning, by improving anaerobic capacity and muscular strength, has been shown in three separate studies to increase G-duration tolerance--in one study...field study, USN pilots found anaerobic and muscular conditioning particularly beneficial in improving their ACM tolerance (39). The USAF encourages

[Equivalency examinations for foreign physicians in Baden-Wuerttemberg].

PubMed

Farhan, N; Wiesemann, A; Wirsching, M

2014-05-01

Recent years have seen an increasing number of foreign doctors starting to practice medicine in German hospitals (or more rarely, in surgeries). In order to be granted the German license to practice medicine, doctors with a medical degree from outside the European Union have to undergo an equivalency examination. The supervisory authority for this is the examination office of the relevant federal state, which is why different procedures are being applied in the individual states. The aim of this paper is to point out the problems that frequently arise when conducting this specialist exam and to make suggestions as to how to improve the quality of the procedure. 6 senior professors from the examination boards of the 4 medical schools in Baden-Wuerttemberg formed a focus group and discussed the difficulties associated with the exam, recorded problems in its actual implementation and then analysed the minutes of the meeting in a results-based manner in order to compile proposals for optimisation. In view of the deficits in subject knowledge, general communication skills and specific communication skills, the difficulties of the current recognition procedure and the existing equivalency exam fall into 3 categories: structure and content of the exam, examiners and exam candidates. In consultation with the State Examination Office Stuttgart, some processes for optimisation have been devised, e. g., to develop a special curriculum which could be used for guidance and to recruit more examiners. The recommendations of the focus group from Baden-Wuerttemberg are an important step towards more transparency and possibly towards a Germany-wide standardisation of this exam. © Georg Thieme Verlag KG Stuttgart · New York.

Pestalpolyols A-D, Cytotoxic Polyketides from Pestalotiopsis sp. cr013.

PubMed

Li, Jing; Xie, Jin; Yang, Yin-He; Li, Xiao-Lian; Zeng, Ying; Zhao, Pei-Ji

2015-09-01

Four novel polyketides, named pestalpolyols A (1), B (2), C (3), and D (4), were isolated from solid fermentation products of Pestalotiopsis sp. cr013. Their structures were elucidated by extensive spectroscopic methods, including 1D and 2D nuclear magnetic resonance and high-resolution electrospray ionization mass spectrometry experiments, and the absolute configuration was confirmed by single-crystal X-ray diffraction analysis using the anomalous scattering of Cu Kα radiation. The inhibitory activities of compounds 1, 2, and 4 against five human tumor lines were tested in vitro, and showed IC50 values 2.3-31.2 µM. Georg Thieme Verlag KG Stuttgart · New York.

[Neurousurpation--the expropriation and suppression of Dölle's neurobiological pioneer work].

PubMed

Bertram, Wulf

2011-08-01

The discovery of a hitherto unpublished dissertational thesis in the archive of a publishing house has lead to a lost publication by Ernst August Dölle. In this manuscript, the author reports on the stimulation of a cerebral libido area in the dog, long before Olds and Milner published their work on the discovery of the rewarding area. The reasons for the suppression of this early publication by Dölle are investigated and are ascribed to an effort to use his neurobiologic research for secret mental manipulation experiments of the CIA at the beginning of the Cold War. George Thieme Verlag KG Stuttgart · New York.

Alkamides from Echinacea angustifolia Interact with P-glycoprotein of primary brain capillary endothelial cells isolated from porcine brain blood vessels.

PubMed

Mahringer, Anne; Ardjomand-Woelkart, Karin; Bauer, Rudolf; Fricker, Gert; Efferth, Thomas

2013-03-01

The blood-brain barrier prevents the passage of toxic compounds from blood circulation into brain tissue. Unfortunately, drugs for the treatment of neurodegenerative diseases, brain tumors, and other diseases also do not cross the blood-brain barrier. In the present investigation, we used isolated porcine brain capillary endothelial cells and a flow cytometric calcein-AM assay to analyze inhibition of P-glycoprotein, a major constituent of the blood-brain barrier. We tested 8 alkamides isolated from Echinacea angustifolia and found that four of them inhibited P-glycoprotein-mediated calcein transport in porcine brain capillary endothelial cells. Georg Thieme Verlag KG Stuttgart · New York.

[Ethics, empiricism and uncertainty].

PubMed

Porz, R; Zimmermann, H; Exadaktylos, A K

2011-01-01

Accidents can lead to difficult boundary situations. Such situations often take place in the emergency units. The medical team thus often and inevitably faces professional uncertainty in their decision-making. It is essential to communicate these uncertainties within the medical team, instead of downplaying or overriding existential hurdles in decision-making. Acknowledging uncertainties might lead to alert and prudent decisions. Thus uncertainty can have ethical value in treatment or withdrawal of treatment. It does not need to be covered in evidence-based arguments, especially as some singular situations of individual tragedies cannot be grasped in terms of evidence-based medicine. © Georg Thieme Verlag KG Stuttgart · New York.

From Genetics to Genomics: A Short Introduction for Pediatric Neurologists.

PubMed

Neubauer, Bernd A; Lemke, Johannes R

2016-01-01

It is estimated that in humans approximately 50% of all 22500 genes are needed for the development and maintenance of the nervous system. The introduction of high-throughput technology in genetic analysis has therefore major implications, not only for the investigation of specific disease entities but also for the diagnostic workup of single individuals with neurologic disorders of genetic origin. A short primer for clinicians is presented, addressing aspects of current developments in medical genomics. Significant findings of the last years are exemplified in an educational manner to provide a basic understanding of disease mechanisms that were unraveled by recent genomic analysis. Georg Thieme Verlag KG Stuttgart · New York.

[Delayed Infection after Upper Lip Augmentation with Absorbable Hyaluronic Acid Filler].

PubMed

Heim, N; Faron, A; Wiedemeyer, V; Teschke, M; Reich, R H; Martini, M

2015-08-01

Since introduction of the first fillers in the 1980s a multitude of substances has been developed and approved for facial contour augmentation and correction of skin defects. Here we present the interesting case of a patient who presented to us with a delayed infection 6 weeks after augmentation of the upper lip with a hyaluronic acid. We observed full convalescence after operative and high-dose antibiotic treatment of the abscesses. Generally speaking, complications after augmentation with resorbable fillers are rare. However, complications might occur even within unexpected time periods and therefore need our special attention. © Georg Thieme Verlag KG Stuttgart · New York.

[Abdominal ultrasonography in patients with diabetes mellitus. Part 1: Liver].

PubMed

Jenssen, C; Pietsch, C; Gottschalk, U; Barreiros, A P; Teufel, A; Cui, X W; Dietrich, C F

2015-04-01

In patients with diabetes mellitus, abdominal ultrasonography is the appropriate diagnostic technique to detect and to follow-up secondary and accompanying diseases of the liver, the kidneys, the pancreas, the gastrointestinal tract and of abdominal vessels. Moreover, pancreatic and hepatic diseases may be realized which are of etiological importance for diabetes mellitus. Based on a systematic survey of the published literature, this review in 3 parts will describe the value of abdominal ultrasonography in patients with diabetes mellitus. Part 1 deals with the diagnostic relevance and particular findings of ultrasonographic methods in hepatic manifestations and complications of diabetes mellitus. © Georg Thieme Verlag KG Stuttgart · New York.

[Tuberculosis Among Refugees and Asylum Seekers: Tuberculosis Screening on Arrival and Case Management].

PubMed

Priwitzer, Martin

2018-04-01

The statement of the Federal Association of Physicians of Public Health Services provides recommendations concerning tuberculosis screening of refugees and asylum seekers on arrival specific to different groups of persons (adults, children, pregnant women, unaccompanied minors), taking into account the legal background and the current recommendations of the Robert Koch Institute as well as of the German Society for Pediatric Infectiology. In addition, recommendations are given to ensure treatment success in refugees and asylum seekers with tuberculosis, to carry out contact investigations and for preventive treatment of latent tuberculosis infection among refugees and asylum seekers. © Georg Thieme Verlag KG Stuttgart · New York.

[The German guideline "legal evaluation after closed head injury"].

PubMed

Wallesch, C W; Fries, W; Marx, P; du Mesnil de Rochemont, R; Roschmann, R; Schmidt, R; Schwerdtfeger, K; Tegenthoff, M; Widder, B

2013-09-01

In 2005, the "Deutsche Gesellschaft für Neurowissenschaftliche Begutachtung" (German Society for Neuroscientific Legal Evaluation) together with other Societies published a guideline for the legal evaluation of patients with closed head injuries. Meanwhile, not only scientific progress in imaging techniques but also in other fields such as neuropsychology has necessitated a revision, which is presented here. In the mean time, the handling of guidelines has been systematised in Germany so that a registration with the Cooperation of German Medical Learned Societies is applied for and publication in the German Guideline Registry is expected. © Georg Thieme Verlag KG Stuttgart · New York.

[Lung Cancer as an Occupational Disease].

PubMed

Baur, X; Woitowitz, H-J

2016-08-01

Lung cancer is one of the most frequently encountered cancer types. According to the latest WHO data, about 10 % of this disease are due to occupational exposure to cancerogens. Asbestos is still the number one carcinogen. Further frequent causes include quarz and ionizing radiation (uranium mining). Probable causes of the disease can be identified only with the help of detailed occupational history taken by a medical specialist and qualified exposure assessment. Without clarifying the cause of the disease, there is neither a correct insurance procedure nor compensation for the victim, and furthermore, required preventive measures cannot be initiated. © Georg Thieme Verlag KG Stuttgart · New York.

[Internet- and Mobile Based Psychotherapy for Depression].

PubMed

Sander, Lasse; Ebert, David Daniel; Baumeister, Harald

2017-01-01

Guided Internet- and mobile-based interventions (IMIs) are an effective and scientifically sound treatment option for depression. Meta-analyses revealed effect sizes comparable to those found for face-to-face treatment as well as pharmacotherapy. Today, most IMIs are based on cognitive behavioral therapy (CBT). While IMIs are well established in healthcare systems of many countries worldwide, Germany is still lagging behind. However, there are an increasing number of model projects trying to implement IMIs into routine healthcare for depression in Germany. Both, service providers and recipients would benefit from transparent quality assurance and data safety guidelines. © Georg Thieme Verlag KG Stuttgart · New York.

Langerhans Cell Histiocytosis of the Adult Cervical Spine: A Case Report and Literature Review.

PubMed

Schär, Ralph T; Hewer, Ekkehard; Ulrich, Christian T

2018-06-11

A 36-year-old man was diagnosed with Langerhans cell histiocytosis (LCH) of the cervical spine with a unifocal expansive osteolytic lesion of C4. The surgical management with a 2-year follow-up and a review of the literature on LCH of the cervical spine are presented. Although a rare condition, LCH is an important differential diagnosis of any osteolytic lesion in the cervical spine with localized pain in a young adult patient. Review of the literature suggests a higher prevalence of LCH lesions affecting the cervical spine as compared with the thoracic or lumbar spine than historically reported. Georg Thieme Verlag KG Stuttgart · New York.

[Current treatment concepts of lung cancer].

PubMed

Kaiser, F; Engelhardt, M; Rawluk, J; Mertelsmann, R; Passlick, B; Wäsch, R

2011-09-01

Lung cancer occurs with a median age of 69 years. The main cause is cigarette smoking. For both genders lung cancer is the third-most frequent tumor in Germany. While in an operable tumor stage 30-80% of the patients can reach long-term survival, the prognosis in the metastasised stage is unfavourable with a 5-year overall survival rate of 6% for small cell lung cancer (SCLC) and 18% for non-small cell lung cancer (NSCLC). Lung cancer is subject of intense research to improve the outcome. This article gives an overview of current treatment options. © Georg Thieme Verlag KG Stuttgart · New York.

[Influence and Change of Self-Directedness in Dialectical Behavior Therapy].

PubMed

Bernheim, Dorothee; Becker, Mathias; Gander, Manuela; Lischke, Alexander; Mentel, Renate; Buchheim, Anna; Freyberger, Harald J

2017-07-01

Objective Investigate influence and change of self-directedness (SD) in Dialectical-Behavior Therapy (DBT) for 26 female outpatients with borderline personality disorder (BPS). Method Variance analyses are used to evaluate psychopathology and interpersonal problems in 2 subgroups (low vs. high SD) with questionnaires at 3 measuring times over the period of 1 year. Results Low SD was associated with higher psychopathology, more interpersonal problems and lower symptomreduction. Over time of intervention the SD of all patients improved significantly. Conclusion DBT strengthens the SD of patients with BPD. A screening of SD before intervention, and systematic support should be considered. © Georg Thieme Verlag KG Stuttgart · New York.

[Application possibilities and initial experience with digital volume tomography in hand and wrist imaging].

PubMed

Goerke, Sebastian M; Neubauer, J; Zajonc, H; Thiele, J R; Kotter, E; Langer, M; Stark, G B; Lampert, F M

2015-02-01

During the last decade, DVT (digital volume tomography) imaging has become a widely used standard technique in head and neck imaging. Lower radiation exposure compared to conventional computed tomography (MDCT) has been described. Recently, DVT has been developed as an extremity scanner and as such represents a new imaging technique for hand surgery. We here describe the first 24 months experience with this new imaging modality in hand and wrist imaging by presenting representative cases and by describing the technical background. Furthermore, the method's advantages and disadvantages are discussed with reference to the given literature. © Georg Thieme Verlag KG Stuttgart · New York.

[Are mental disorders increasing? Update of a systematic review on repeated cross-sectional studies].

PubMed

Richter, Dirk; Berger, Klaus

2013-05-01

Throughout the western world, an increasing demand for psychiatric services is reported. However, a systematic review published in 2008 came to the conclusion that there is no sufficient evidence for increasing mental disorders in the recent decades. A systematic review on studies with repeating cross-sectional surveys in the general population, published since 2008, was conducted. 33 study results were included into the review. The majority of publications did not report increasing mental health problems in the general population. The increasing demand for psychiatric services is not associated with increasing mental disorders in the general population. © Georg Thieme Verlag KG Stuttgart · New York.

[Extracorporeal membrane oxygenation in Thoracic Surgery - Lung Transplantation].

PubMed

Aigner, Clemens; Slama, Alexis; Valdivia, Daniel

2018-06-14

Extracorporeal membrane oxygenation (ECMO) has become a routine method in thoracic surgery. Recent developments in lung transplantation have led to its widespread acceptance. Firstly, ECMO is increasingly being used to bridge patients to transplantation. The best results in this setting have been described with "awake ECMO". Secondly, ECMO has replaced cardio-pulmonary bypass as the intraoperative standard device in most centres and is used for treatment and prevention of primary graft dysfunction. Refinements of the devices in use and the cannula design allow an individualised approach tailored to the respiratory and haemodynamic situation of the patients and the anticipated duration of ECMO support. Georg Thieme Verlag KG Stuttgart · New York.

Rare cancers in children - The EXPeRT Initiative: a report from the European Cooperative Study Group on Pediatric Rare Tumors.

PubMed

Bisogno, G; Ferrari, A; Bien, E; Brecht, I B; Brennan, B; Cecchetto, G; Godzinski, J; Orbach, D; Reguerre, Y; Stachowicz-Stencel, T; Schneider, D T

2012-10-01

The low incidence and the heterogeneity of very rare tumors (VRTs) demand for international cooperation. In 2008, EXPeRT (European Cooperative Study Group for Pediatric Rare Tumors) was founded by national groups from Italy, France, United Kingdom, Poland and Germany. The first aims of EXPeRT were to agree on a uniform definition of VRTs and to develop the currently most relevant scientific questions. Current initiatives include international data exchange, retrospective and prospective studies of specific entities, and the development of harmonized and internationally recognized guidelines. Moreover, EXPeRT established a network for expert consultation to assist in clinical decision in VRTs. © Georg Thieme Verlag KG Stuttgart · New York.

Fluid inclusion geothermometry

USGS Publications Warehouse

Cunningham, C.G.

1977-01-01

Fluid inclusions trapped within crystals either during growth or at a later time provide many clues to the histories of rocks and ores. Estimates of fluid-inclusion homogenization temperature and density can be obtained using a petrographic microscope with thin sections, and they can be refined using heating and freezing stages. Fluid inclusion studies, used in conjunction with paragenetic studies, can provide direct data on the time and space variations of parameters such as temperature, pressure, density, and composition of fluids in geologic environments. Changes in these parameters directly affect the fugacity, composition, and pH of fluids, thus directly influencing localization of ore metals. ?? 1977 Ferdinand Enke Verlag Stuttgart.

How pediatric surgeons use social media to attract new patients.

PubMed

Romano, Ron; Baum, Neil

2014-08-01

Social media has changed the landscape of online interaction for all doctors including pediatric surgeons. Of course the public including our patients and potential new patients having immediate access to these sites through mobile devices and iPads has contributed immensely to this phenomenon. Nonetheless, it seems that we are all rushing to get in front of our target audience and to engage in a relationship with them in a cost-effective fashion. This article will discuss the role of the Internet and media and how you can use this technology to attract new pediatric patients to your practice. Georg Thieme Verlag KG Stuttgart · New York.

[Statement of the Association of Pneumological Clinics and the German Respiratory Society on the coding of invasive and non-invasive ventilation in intensity care].

PubMed

2013-07-01

Mechanical ventilation in patients with respiratory failure represents one of the most important aspects of intensity care. It can be performed invasively and non-invasively depending on the clinical situation and the underlying disease. The expenditure and consumption of resources is the basis of the compensation for each patient case in the German diagnosis related group system. For ventilated patients it is calculated based on the hours of ventilation, according to the standard coding guideline. In this statement, the German Respiratory Society and the Association of Pneumological Clinics aim to clarify some aspects of the coding of invasive and non-invasive ventilation. © Georg Thieme Verlag KG Stuttgart · New York.

The X-ray microscopy beamline UE46-PGM2 at BESSY

NASA Astrophysics Data System (ADS)

Follath, R.; Schmidt, J. S.; Weigand, M.; Fauth, K.

2010-06-01

The Max Planck Institute for Metal Physics in Stuttgart and the Helmholtz Center Berlin operate a soft X-ray microscopy beamline at the storage ring BESSY II. A collimated PGM serves as monochromator for a scanning X-ray microscope and a full field X-ray microscope at the helical undulator UE46. The selection between both instruments is accomplished via two switchable focusing mirrors. The scanning microscope (SM) is based on the ALS STXM microscope and fabricated by the ACCEL company. The full field microscope (FFM) is currently in operation at the U41-SGM beamline and will be relocated to its final location this year.

[Intramedullary stabilisation of clavicula fractures].

PubMed

Prokop, A; Schiffer, G; Jubel, A; Chmielnicki, M

2013-10-01

With an incidence of 64/100,000, clavicular shaft fractures are one of the most common fractures. Intramedullary fixation with Prevot nails was initially reported in the late 1990s. This procedure offers minimally invasive stabilization of the fracture, thus enabling immediate mobilization and rapid loading capacity. Using a case study, the positioning and procedure are demonstrated on video. The intramedullary implant accommodates the varying tension loading of the clavicle. This treatment is ideal for clavicular fractures with 2-3 fragments. Compared to patients treated conservatively, operated patients achieve more rapid and improved mobility. Employment disability is shorter, and malunion occurs less frequently. Georg Thieme Verlag KG Stuttgart · New York.

[Medicine aboard cruise ships--law insurance specifics].

PubMed

Ottomann, C; Frenzel, R; Muehlberger, T

2013-04-01

The booming cruise industry, associated with ships with more passengers and crew on board, results in growing medical needs for the ship doctor. The ship's doctor insurance policy includes different jurisdictions, namely national law, international law, tort law, insurance law and labor law. In addition, international agreements must be taken into account, which complicates the design of an adequate insurance policy. Equally high are the costs and defense costs for the ship's doctor in case of liability. In order to limit the liability for all parties is to ask for appropriately qualified medical staff, hired on board. © Georg Thieme Verlag KG Stuttgart · New York.

Hyperbilirubinemia and rapid fatal hepatic failure in severe combined immunodeficiency caused by adenosine deaminase deficiency (ADA-SCID).

PubMed

Kühl, J S; Schwarz, K; Münch, A; Schmugge, M; Pekrun, A; Meisel, C; Wahn, V; Ebell, W; von Bernuth, H

2011-03-01

Adenosin deaminase (ADA) deficiency is the cause for Severe Combined Immunodeficiency (SCID) in about 15% of patients with SCID, often presenting as T (-)B (-)NK (-)SCID. Treatment options for ADA-SCID are enzyme replacement, bone marrow transplantation or gene therapy. We here describe the first patient with ADA-SCID and fatal hepatic failure despite bone marrow transplantation from a 10/10 HLA identical related donor. As patients with ADA-SCID may be at yet underestimated increased risk for rapid hepatic failure we speculate whether hepatitis in ADA-SCID should lead to the immediate treatment with enzyme replacement by pegylated ADA. © Georg Thieme Verlag KG Stuttgart · New York.

[Polytrauma Management - Treatment of Severely Injured Patients in ER and OR].

PubMed

von Rüden, Christian; Bühren, Volker; Perl, Mario

2017-10-01

The adequate treatment of severely injured patients is challenging and can only be successfully executed when it starts at the accident site and is continued in all treatment phases including the early rehabilitation phase. Treatment should be performed by an interdisciplinary team guided by a trauma surgeon in order to adequately manage the severe injuries some of which are life-threatening. Treatment of polytrauma patients is a key task of certified trauma centers and must follow standardized guidelines. For a successful therapy of severely injured patients lifetime training at regular intervals in well-established polytrauma concepts is a mandatory requirement. Georg Thieme Verlag KG Stuttgart · New York.

[Cardiac myopathy due to overt hypothyroidism].

PubMed

Harbeck, B; Berndt, M J; Lehnert, H

2014-03-01

A 51-year-old man presented with progressive tiredness, proximal muscle weakness, hair loss and weight gain for months. The patient showed mild pretibial myxedema and dry skin. Laboratory findings revealed strongly elevated cardiac enzymes as well as marked hypothyroidism. The electrocardiogram, echocardiography, abdominal sonography and chest X-ray were unremarkable. Thyroid ultrasound demonstrated features of Hashimoto thyroiditis. The findings supported the diagnosis of an overt hypothyroidism with myxedema and rhabdomyolysis. After starting levothyroxine and volume substitution laboratory parameters and clinical condition slowly normalized. Severe overt hypothyroidism may rarely present primarily as myopathy with myositis and cardiac involvement. © Georg Thieme Verlag KG Stuttgart · New York.

[Harm related to medical device use - legal and organisational risks].

PubMed

Hölscher, U M

2014-12-01

The effectiveness of the risk management systems established by medical device manufacturers and health-care facilities is clearly mitigated by European and national legal provisions. Laws, regulations and authorities prevent the systematic exchange of much safety-relevant information. The obligation to report adverse events is suspended for many relevant risks associated with medical device use. Reporting into the vigilance system is of little avail for users. Reporting even may endanger the information provider. The federal fragmentation of the German vigilance system poses a risk for patients. Risk management in health-care facilities without risk policy is dangerously incomplete. © Georg Thieme Verlag KG Stuttgart · New York.

[The "Psychiatrie-Enquete" - the German Report on the State of Psychiatry in 1975].

PubMed

Finzen, Asmus

2015-10-01

Forty years ago an expert-commission submitted a report on the deplorable state of German psychiatric care, called the "Psychiatrie-Enquete" to the Bundestag, the German parliament. The Report initiated a substantial change of Psychiatric services in the country. Inhuman treatment and living conditions were superseded. Mental hospitals were not completely abolished. But they lost their importance in favour of decentralized psychiatric services including departments at general hospitals, day hospitals and outpatient services. Custodial care was largely successfully developed into therapeutic and rehabilitative care. This article attempts a mildly critical evaluation of the Enquête 40 years after. © Georg Thieme Verlag KG Stuttgart · New York.

In-vitro Equilibrium Phosphate Binding Study of Sevelamer Carbonate by UV-Vis Spectrophotometry.

PubMed

Prasaja, Budi; Syabani, M Maulana; Sari, Endah; Chilmi, Uci; Cahyaningsih, Prawitasari; Kosasih, Theresia Weliana

2018-06-12

Sevelamer carbonate is a cross-linked polymeric amine; it is the active ingredient in Renvela ® tablets. US FDA provides recommendation for demonstrating bioequivalence for the development of a generic product of sevelamer carbonte using in-vitro equilibrium binding study. A simple UV-vis spectrophotometry method was developed and validated for quantification of free phosphate to determine the binding parameter constant of sevelamer. The method validation demonstrated the specificity, limit of quantification, accuracy and precision of measurements. The validated method has been successfully used to analyze samples in in-vitro equilibrium binding study for demonstrating bioequivalence. © Georg Thieme Verlag KG Stuttgart · New York.

[Nutrition in dementia].

PubMed

Volkert, Dorothee; Sieber, Cornel C; Wirth, Rainer

2016-06-01

Older people suffering from dementia are at increased risk of malnutrition due to various nutritional problems, and the question arises which interventions are effective in maintaining adequate nutritional intake and nutritional status in the course of the disease. In an international expert group, initiated by the European Society for Clinical Nutrition and Metabolism (ESPEN), 26 evidence-based recommendations for nutritional care of older persons with dementia have been developed, covering the topics of screening and assessment of malnutrition, strategies to support oral nutrition, oral supplementation and artificial nutrition. This article is a short version of the guideline. © Georg Thieme Verlag KG Stuttgart · New York.

[Disease Experience after Many Years of Orthopedic Therapy in Childhood].

PubMed

Schwarze, Martin; Gerigk, Carina; Schulmeister, Martin; Schiltenwolf, Marcus

2018-06-22

The orthopedic medical history of the now 56-year-old Mr. Z began immediately after his birth with an inpatient clubfoot therapy. With the onset of adolescence, multilocular pain began. The long-standing patient career was characterized by disappointment about the early onset and recurrent need for treatment. The disappointment motive is closely related to the relationship between the patient and his mother. The biography illustrates the intertwining of early (orthopedic) treatment, primary bonding and disease experiences. A multimodal pain therapy was able to target Mr. Z, create positive body experiences and finally reduce the pain. © Georg Thieme Verlag KG Stuttgart · New York.

[Temporary Pacemakers - Step by Step].

PubMed

Graf, Matthias; Stiller, Patrick; Karch, Martin

2018-06-01

Symptomatic bradycardia is usually caused by abnormalities of atrioventricular conduction or sinus node dysfunction. Reversible and irreversible causes must be considered.Temporary pacemakers are used in the emergency treatment in case of severe bradyarrhythmia.They help to bridge the acute phase until spontaneous restoration of atrioventricular or sinus node function or -if spontaneous restoration fails- until a permanent pacemaker system was implanted.In the following article we discuss the commonly used temporary pacemaker systems. We demonstrate their use and correct programming by an illustrated step by step explanation. For troubleshooting a flow chart was added. © Georg Thieme Verlag KG Stuttgart · New York.

PubMed

Angelopoulos, Elias; Theleritis, Christos; Economou, Marina; Georgatou, Korina; Papageorgiou, Charalambos C; Tsaltas, Eleftheria

2017-07-01

In the recent study by Verhoeven and Egger, 2015 and the recent letter to the editor by Boot et al. 2015 an emphasis is given to the best possible pharmacological treatment of 22q11-2 Deletion-Syndrome related psychoses. We would like to present the case of a 23-year old Cypriot patient with 22q11.2 deletion syndrome who fulfilled criteria for treatment resistant schizophrenia (TRS). He was sequentially treated with aripiprazole, risperidone, olanzapine, haloperidol and a combination treatment with olanzapine and haloperidol. Clozapine was the only antipsychotic medication that has improved his condition. © Georg Thieme Verlag KG Stuttgart · New York.

[Transplant Surgeon Meets Nephrologist: Important Nephrological Aspects Before and After Kidney or Liver Transplantation].

PubMed

Vondran, F W R; Wintterle, S; Bräsen, J H; Haller, H; Klempnauer, J; Richter, N; Lehner, F; Schiffer, M

2017-04-01

In cases of chronic renal insufficiency, successful kidney transplantation is the method of choice to restore patients' health, well-being and physical fitness. The interdisciplinary collaboration of nephrologists and transplant surgeons has always been a prerequisite for the successful pre-, peri- and post-transplant care of renal transplant patients. The same holds true for liver transplant patients. Here the nephrologist is often involved in cases requiring pre- or post-transplant dialysis as well as in decision making for combined liver-kidney transplantation. This review focuses on nephrological aspects in patient care before and after kidney and liver transplantation. Georg Thieme Verlag KG Stuttgart · New York.

[Primary and secondary arterial hypertension - update 2016].

PubMed

Sanner, Bernd; Hausberg, Martin

2016-06-01

In patients with hypertension without diabetes and with an increased risk of cardiovascular complications a blood pressure of below 130 mmHg should be targeted. Hypertensive patients with an age above 80 years should be treated in the same way as younger hypertensive patients if they are otherwise healthy and functionally independent. On the other hand frail elderly patients could have an increased morbidity and mortality with intensive blood pressure control. In patients with resistant hypertension spironolactone was the most effective drug when given in addition to their baseline drugs (ACE-inhibitor/angiotensin receptor antagonist, calcium channel blocker and thiazide diuretic). © Georg Thieme Verlag KG Stuttgart · New York.

[Free microvascular fibula graft for skeletal reconstruction of the distal radius: 5 years follow-up after en-bloc resection of a giant cell tumour].

PubMed

Franz, T; Krawczyk, T; Eggli, S; Wartburg, U von

2010-10-01

A giant cell tumour of the distal radius or of the carpal bones, verified by incisional biopsies, should be approached as a low-grade malignancy. Lesions that arise in the bones of the hand or the wrist have a greater propensity to metastasise, and have a higher risk of local recurrence. In this case report we describe a 54-year-old women with a giant cell tumour of the distal radius (Campanacci grade III lesion), having a follow-up of five years without signs of local recurrence or metastatic disease. The general principles of and options for surgical treatment are discussed. © Georg Thieme Verlag KG Stuttgart · New York.

Bloody nipple discharge (BND) in an 8 months old girl and a 9 months old male--rational diagnostic approach.

PubMed

Harmsen, S; Mayatepek, E; Klee, D; Meissner, T

2010-03-01

Bloody nipple discharge in adults is, in men as well as in women, often a symptom of an underlying malignant disease. In respect of this, multiple invasive and mutilating diagnostic procedures have been performed in infants and older children. Apart from individual cases in older and pubertal children, in childhood benign conditions are most common and can be diagnosed by non-invasive diagnostic procedures. Here we discuss a rational diagnostic approach on the basis of 2 patients with bloody nipple discharge at the age of 8 and 9 months which resolved spontaneously without treatment after 3 and 6 months, respectively. (c) Georg Thieme Verlag KG Stuttgart-New York.

[Alienation: Differential Psychopathology of Ego-Disturbances].

PubMed

Bodatsch, M; Kuhn, J

2016-11-01

Alienation, i. e. disorders of the inner experience of integrity, continuity, and agency, represents a feature of both psychotic and non-psychotic disorders. Thereby, ego disturbances are thought to be specific for schizophrenia. Depersonalisation, in contrast, has been reported in schizophrenia as well as a neurotic, probably distinct syndrome. The differentiation of psychotic vs. non-psychotic alienation is often all but trivial. The present paper provides an overview of the historical roots and the psychopathological conceptualizations of alienation. Clinically relevant features of psychotic alienation are highlighted. Experience of passivity, loss of authenticity and disturbances of striving and volition appear as psychotic characteristics. © Georg Thieme Verlag KG Stuttgart · New York.

[Prevention of perioperative hypothermia].

PubMed

Horn, Ernst-Peter; Torossian, Alexander

2010-03-01

Inadvertent perioperative hypothermia impairs postoperative outcome in surgical patients due to ischemic myocardial events, wound infections and coagulation disorders. Body core temperature should be assessed 1-2h preoperatively and continuously during surgery. To prevent hypothermia patients and nursing clinical staff should be teached and trained. Preoperatively surgical patients should always be prewarmed by using convective warming devices and active warming should be continued in surgeries longer than 1 hour. Warming of IV fluids is effective if infusion rates are above 1l/h. Core temperature should be measured in the recovery room and active warming should be started when patients are hypothermic or if they feel cold. Georg Thieme Verlag Stuttgart * New York.

[Burnout, work disruptions, interpersonal and psychosomatic problems--degree-specific comparison of students at a German university].

PubMed

Gumz, A; Brähler, E; Heilmann, V K; Erices, R

2014-03-01

In the context of the public debate on psychological strain among students, the prevalence of burnout, procrastination, test anxiety, other work disruptions, interpersonal problems and psychic symptoms were analyzed depending on academic degree. The data of 358 college students (of Leipzig University) were examined. The academic degree had only a marginal effect on burnout- and work disruptions-related variables. In terms of interpersonal problems and psychic symptoms, differences between students were identified, depending on the academic degree. Diploma students reported many complaints, whereas undergraduates aspiring for a State Examination, were comparatively less affected. Knowledge of the population-specific psychological load is useful in order to develop preventive and therapeutic measures. © Georg Thieme Verlag KG Stuttgart · New York.

[Primary Prevention of Mental Disorders in Children of Mentally Ill Parents. The Kanu Programme "Canoe--Moving Jointly Forward"].

PubMed

Linthorst, K; Bauer, U; Osipov, I; Pinheiro, P; Rehder, M

2015-09-01

Children of parents who suffer from mental health disorders are more likely to develop mental disorders than children of parents not suffering from mental disorders. For children at risk, preventive strategies are hardly available and, if available, rarely supported by a scientific evaluation. "Kanu - Gemeinsam weiterkommen (canoe - moving jointly forward)" is a preventive strategy that was developed within a research project focusing on primary prevention in children who live in families with parents affected by mental disorders. The intervention is characterised by a multi-modular concept and was tested in the adult psychiatric setting. Preliminary results indicate a preventive impact of the intervention programme. © Georg Thieme Verlag KG Stuttgart · New York.

[Health Care Situation and Barriers for Working with Children of Mentally Ill Parents from the Perspective of Adult Psychiatry in Germany - A Nationwide Survey].

PubMed

Wlodarczyk, Olga; Metzner, Franka; Pawils, Silke

2017-10-01

Objective The aim of the present study was to assess the health care situation and barriers to support minor children of mentally ill parents from the perspective of adult psychiatry in Germany. Methods Based on the German Hospital Register mental health practitioners of all psychiatric clinics in Germany were asked to answer a 37-item questionnaire. Overall, 441 practitioners of 239 psychiatric clinics participated in the cross sectional study. Results Most important barriers were high workload, scarce resources, patient-focused treatment, missing expertise as well as insufficient awareness. Conclusions More resources, training, clear declaration of competence and coordination of services are necessary to implement family sensitive services in psychiatric clinics. © Georg Thieme Verlag KG Stuttgart · New York.

Antimicrobial and Efflux Inhibitor Activity of Usnic Acid Against Mycobacterium abscessus.

PubMed

Ramis, Ivy B; Vianna, Júlia S; Reis, Ana Júlia; von Groll, Andrea; Ramos, Daniela F; Viveiros, Miguel; da Silva, Pedro E Almeida

2018-06-18

New drugs are needed to treat infections with antimicrobial-resistant Mycobacterium abscessus ; therefore, we evaluated usnic acid as an antimicrobial agent and efflux inhibitor (EI) against M. abscessus . Usnic acid showed antimicrobial activity, and synergistically, the EI verapamil increased this activity. In addition, when we evaluated the interaction of antimicrobials with usnic acid, the increase of their activity was observed. Finally, usnic acid showed an efflux inhibitory effect between the classical EIs verapamil and carbonyl cyanide m-chlorophenylhydrazine. In conclusion, usnic acid showed both antimicrobial and EI activity, indicating that this natural compound may be a promising scaffold for new drugs against this difficult-to-treat microorganism. Georg Thieme Verlag KG Stuttgart · New York.

[Which services do companies need to retain employability in their workforce?--help offered by the German Pension Insurance].

PubMed

Friemelt, G; Ritter, J

2012-01-01

German Pension Insurance as a provider of services in rehabilitation has reacted to demographic changes in society, both strategic and practical. The implementation of services for companies including support of company return to work management and prevention services for employees with specific health-related burdens offer the chance to identify an endangerment of earning capacity at an early stage. Workplace-orientated medical rehabilitation increases the focus on the job and the workplace in rehabilitation under the pension insurance scheme, both in selecting the right service for a client as well as in the service itself. Employers, employees and pension insurance together benefit from close cooperation. © Georg Thieme Verlag KG Stuttgart · New York.

Atrioesophageal Fistula after Minimally Invasive Video-Assisted Epicardial Ablation for Lone Atrial Fibrillation.

PubMed

Kik, Charles; van Valen, Richard; Mokhles, Mostafa M; Bekkers, Jos A; Bogers, Ad J J C

2017-09-01

Minimally invasive video-assisted epicardial beating heart ablation for lone atrial fibrillation claims to be safe and effective. We, however, report on three patients with an atrioesophageal fistula after this procedure. The exact pathogenesis of this complication is unknown. All patients presented around 6 weeks after surgery with either fever or neurological deficits. Diagnosis can be made by computed tomography scan. We advocate an aggressive surgical approach with closure of the atrial defect on cardiopulmonary bypass and closure and reinforcement of the esophagus with an intercostal muscle flap in a single-stage surgery. Some caution as to the low-risk character of this procedure seems to be realistic. Georg Thieme Verlag KG Stuttgart · New York.

Clinical and Biochemical Pitfalls in the Diagnosis of Peroxisomal Disorders.

PubMed

Klouwer, Femke C C; Huffnagel, Irene C; Ferdinandusse, Sacha; Waterham, Hans R; Wanders, Ronald J A; Engelen, Marc; Poll-The, Bwee Tien

2016-08-01

Peroxisomal disorders are a heterogeneous group of genetic metabolic disorders, caused by a defect in peroxisome biogenesis or a deficiency of a single peroxisomal enzyme. The peroxisomal disorders include the Zellweger spectrum disorders, the rhizomelic chondrodysplasia punctata spectrum disorders, X-linked adrenoleukodystrophy, and multiple single enzyme deficiencies. There are several core phenotypes caused by peroxisomal dysfunction that clinicians can recognize. The diagnosis is suggested by biochemical testing in blood and urine and confirmed by functional assays in cultured skin fibroblasts, followed by mutation analysis. This review describes the phenotype of the main peroxisomal disorders and possible pitfalls in (laboratory) diagnosis to aid clinicians in the recognition of this group of diseases. Georg Thieme Verlag KG Stuttgart · New York.

Ellipsoidal Harmonic Vertical Deflections. Global and Regional Modeling of The Horizontal Derivative of The Terrestrial Garvity Field

NASA Astrophysics Data System (ADS)

Grafarend, E. W.; Ardalan, A.; Finn, G.

In terms of elliptic coordinates of Jacobi type (longitude, latitude, semi-minor axis) the horizontal derivative is computed as a linear operator acting on an ellipsoidal har- monic disturbing/incremental gravitational potential. Such disturbing potential is de- fined with respect to the Somigliana-Pizzetti Reference Potential, the potential field of a level ellipsoid, and the International Reference Ellipsoid/WGS84 or World Geode- tic Datum 2000/WGD2000. Case studies of those vertical deflections on a global as well as regional scale are presented which take advantage of SEGEN (Special Ellipsoidal Gravity Earth Normal: ellipsoidal harmonics expansion 130321 coeffi- cients: http://www.uni-stuttgart.de/gi/research/paper/coefficients/coefficients.zip) and of CENT (precise centrifugal potential)

[Surgery for age-related macular degeneration. Still an option in the age of pharmacotherapy?].

PubMed

Joussen, A M; Kirchhof, B

2014-09-01

This review assesses the relevance of surgical approaches for age-related macular degeneration (AMD) with respect to the pathophysiology of AMD and the current pharmacological possibilities. We discuss the different surgical approaches such as subretinal membrane excision, cell transplantation (IPE and RPE) and transplantation of retina and choroid (PATCH), as well as translocation surgery. Peeling of epiretinal membranes in patients with drusen as well as vitrectomy before epiretinal brachytherapy (VIDEON system) are the final topics. While overall pharmacotherapy has displaced surgical approaches, surgery is worthy of consideration in selected cases. For these patients surgical options need to be maintained in the armamentarium of retinal surgeons. Georg Thieme Verlag KG Stuttgart · New York.

[Parenthood and cancer: dyadic analysis of psychological distress and -health-related quality of life of cancer parents with minor children].

PubMed

Kühne, Franziska; Krattenmacher, Thomas; Bergelt, Corinna; Bierbaum, Anna-Lena; Christine Ernst, Johanna; Flechtner, Hans-Henning; Keller, Monika; Klitzing, Kai V; Romer, Georg; Möller, Birgit

2013-12-01

The purpose of this study was the analysis of psychological distress and health-related quality of life (HRQoL) of parents with minor children during curative resp. palliative treatment.Cross-sectional design with a sample of N=89 parent dyads. Dyadic analysis of demographic, illness and family variables via mixed linear models.Patients and healthy partners indicated psychological distress on different subscales. Intradyadic correlations were small-moderate. Most important predictors of psychological distress and HRQoL were treatment stadium, gender, family functioning, and employment status.Dependent on demographic variables, psychooncological support was evident mainly for parents in palliative care and for families with dysfunctional functioning. © Georg Thieme Verlag KG Stuttgart · New York.

[Orophagyngeal Dysphagia in Older Persons - Evaluation and Therapeutic Options].

PubMed

Wirth, Rainer; Lueg, Gero; Dziewas, Rainer

2018-02-01

The prevalence of oropharyngeal dysphagia in older persons is high. Because it is frequently undetected, screening tests should be applied in risk groups. If the screening test is positive or typical risk factors are present, an instrumental assessment should be utilized. Objective diagnostic tools such as endoscopic evaluation and videofluoroscopy allow the description of the individual dysphagia pattern, which is the basis for an individualized treatment. The endoscopic evaluation of swallowing is increasingly used because it includes several advantages. Potential therapeutic strategies are multifaceted. The evidence for the effectiveness of adaptive, compensatory and rehabilitative strategies is growing, supporting the evolution of dysphagia therapy to an evidence based treatment. © Georg Thieme Verlag KG Stuttgart · New York.

[Long-term care of Parkinson patients with deep brain stimulation].

PubMed

Allert, N; Barbe, M T; Timmermann, L; Coenen, V A

2011-12-01

For more than 15 years deep brain stimulation of the subthalamic nucleus and globus pallidus internus have become therapeutic options in advanced Parkinson's disease. The number of patients with long-term treatment is increasing steadily. This review focuses on issues of the long-term care of these Parkinson's patients, including differences of the available deep brain stimulation systems, recommendations for follow-up examinations, implications for medical diagnostics and therapies and an algorithm for symptom deterioration. Today, there is no profound evidence that deep brain stimulation prevents disease progression. However, symptomatic relief from motor symptoms is maintained during long-term follow-up and interruption of the therapy remains an exception. © Georg Thieme Verlag KG Stuttgart · New York.

[Development and Process Evaluation of the e-Mental Health Portal www.psychenet.de for the Hamburg Network for Mental Health].

PubMed

Dirmaier, Jörg; Tlach, Lisa; Liebherz, Sarah; Kocalevent, Rüya; Sänger, Sylvia; Thiel, Juliane; Härter, Martin

2015-07-01

The purpose of this project was to develop a user-centered web-portal for empowerment in mental disorders. The development of the portal included mixed-methods techniques for needs assessment to identify user-relevant content. Exposure and use of the portal was investigated as part of a process evaluation. psychenet.de informs about mental disorders and treatment option. Results of the process evaluation showed a highly accessed website, the portal was assessed as "good" or "very good" by 73 % of the respondents. Using psychenet.de attempts to raise awareness, to inform about mental disorders, and to engage patients in the course of their treatment. © Georg Thieme Verlag KG Stuttgart · New York.

Pleiotropic Effect of Lipoprotein-Apheresis on the Soluble Form of Activated Leukocyte Cell Adhesion Molecule (sALCAM) in Familial Hypercholesterolaemia.

PubMed

von Bauer, Rüdiger; Oikonomou, Dimitrios; Sulaj, Alba; Kopf, Stefan; Fleming, Thomas; Rudofsky, Gottfried; Nawroth, Peter

2018-06-11

Atherosclerosis is an inflammatory disorder in which several converging immune responses modulate and induce lipid accumulation in macrophages. Activated leukocyte cell adhesion molecule (ALCAM) has been described as a structural homologue of HDL-receptor and functions as a pattern recognition receptor (PRR), while its soluble form sALCAM is involved in ALCAM-dependent and -independent immune mechanisms. The aim of this study was to investigate the effect of aggressive removal of low density lipoprotein-cholesterol (LDL-C) and lipoprotein(a) (Lp [a]) by lipoprotein-apheresis (LA) on sALCAM and blood viscosity as well as to evaluate its association with lipoproteins and serum markers of inflammation. © Georg Thieme Verlag KG Stuttgart · New York.

Rare Variant of GM2 Gangliosidosis through Activator-Protein Deficiency.

PubMed

Brackmann, Florian; Kehrer, Christiane; Kustermann, Wibke; Böhringer, Judith; Krägeloh-Mann, Ingeborg; Trollmann, Regina

2017-04-01

GM2 gangliosidosis, AB variant, is a very rare form of GM2 gangliosidosis due to a deficiency of GM2 activator protein. We report on two patients with typical clinical features suggestive of GM2 gangliosidosis, but normal results for hexosaminidase A and hexosaminidase B as well as their corresponding genes. Genetic analysis of the gene encoding the activator protein, the GM2A gene, elucidated the cause of the disease, adding a novel mutation to the spectrum of GM2 AB variant. This report points out that in typical clinical constellations with normal enzyme results, genetic diagnostic for activator protein defects should be performed. Georg Thieme Verlag KG Stuttgart · New York.

A Novel Variant in the HINT1 Gene in a Girl with Autosomal Recessive Axonal Neuropathy with Neuromyotonia: Thorough Neurological Examination Gives the Clue.

PubMed

Rauchenzauner, Markus; Frühwirth, Martin; Hecht, Martin; Kofler, Markus; Witsch-Baumgartner, Martina; Fauth, Christine

2016-04-01

We report a girl with autosomal recessive axonal neuropathy with neuromyotonia (ARAN-NM) who presented with asymmetric gait impairment, foot drop, and action myotonia on fast handgrip. Electrophysiological studies showed symmetrical axonal motor greater than sensory neuropathy, and neuromyotonic discharges on needle electromyography. ARAN-NM was confirmed by molecular genetic testing, which revealed a novel homozygous missense variant c.100G > A [p.(Glu34Lys)] in HINT1. This case shows that the diagnosis of ARAN-NM, as a new entity, has to be considered in the differential diagnosis of polyneuropathy in combination with neuromyotonia/action myotonia in children, even with asymmetric clinical presentation. Georg Thieme Verlag KG Stuttgart · New York.

[Primary perivascular epitheloid cell tumour (PEComa) of the liver - is a new entity of the liver tumors?].

PubMed

Panahova, S; Rempp, H; Sipos, B; Malek, N P; Boozari, B

2015-05-01

Perivascular epitheloid cell tumor (PEComa) is a rare tumor, characterized by dual Expression of smooth muscle and melanocytic markers. Due to the development of diagnostic procedures, we now diagnose PEComa more often. We report about a case of PEComa of the liver as an accidental finding. We analyze the clinical and morphological characteristics of this tumor and compare it with the data of the literature. Management of patients with PEComa is not yet standardized; therefore biopsy with immunhistochemical staining is necessary for the diagnosis. In case of liver tumors which cannot be classified by their morphology on imaging modalities, it is important to think about this rare entity. © Georg Thieme Verlag KG Stuttgart · New York.

[Evolutionary medicine].

PubMed

Wjst, M

2013-12-01

Evolutionary medicine allows new insights into long standing medical problems. Are we "really stoneagers on the fast lane"? This insight might have enormous consequences and will allow new answers that could never been provided by traditional anthropology. Only now this is made possible using data from molecular medicine and systems biology. Thereby evolutionary medicine takes a leap from a merely theoretical discipline to practical fields - reproductive, nutritional and preventive medicine, as well as microbiology, immunology and psychiatry. Evolutionary medicine is not another "just so story" but a serious candidate for the medical curriculum providing a universal understanding of health and disease based on our biological origin. © Georg Thieme Verlag KG Stuttgart · New York.

[Lübeck University Model for Physiotherapy].

PubMed

Bretin, Annette; Großmann, Kirsten; Schulz, ArndtPeter

2018-02-19

The aim of this paper is to describe the development of an innovative bachelor's degree program for physiotherapy directly affiliated with the medical department, which is a unique approach to making physiotherapy an academic course in Germany. The previous system for qualifying as a physiotherapist was amended by the adaption of qualification objectives resulting in a model that links scientific and vocational knowledge from the beginning of the study. Several lectures support interprofessionality. The vocational training is fully integrated into the curriculum. The exemplary concept is monitored by an extensive quality management program. The approach meets general recommendations of experts and can serve as a model for other universities. © Georg Thieme Verlag KG Stuttgart · New York.

[Steadfast--effectiveness of a cognitive-behavioral self-management program for patients with somatoform vertigo and dizziness].

PubMed

Tschan, Regine; Eckhardt-Henn, Annegret; Scheurich, Vera; Best, Christoph; Dieterich, Marianne; Beutel, Manfred

2012-01-01

The aim of the study was to evaluate a psychotherapeutic intervention for somatoform vertigo regarding illness perception, severity and psychopathology.Patients underwent a waiting-list control group design (n=10 control group; n=14 intervention group with diagnostics at baseline, post-intervention, 3- and 12-month follow-up). Psychometric assessments comprised the Illness Perception Questionnaire, Vertigo Symptom and Handicap Questionnaire, Hospital Anxiety and Depression Scale, and Physical Health Questionnaire.The intervention group improved in personal control (p=0.046; d=0.46), and coherency (p=0.087; d=0.42). Illness beliefs in organic deteriorations could be corrected towards psychosomatic attributions.Steadfast decreased dysfunctional illness representations and increased patient empowerment. © Georg Thieme Verlag KG Stuttgart · New York.

[On the bactericidal action of dibromoisocyanuric acid; experiments concerning the disinfection of hands (author's transl)].

PubMed

Gottardi, W; Puritscher, M

1976-07-01

The action of dibromoisocyanuric acid (DBI), C12, Br2, trichloroisocyanuric acid (TCI) and chloramine T against Staph. aureus SG 511 was compared. Using the suspension test DBI and Br2 showed the strongest, chloramine T however, the weakest bactericidal power (Tab 2). Under the conditions of the "Hygienic disinfection of hands" a 0.005 M solution of DBI met the requirements specified in the "Richtlinien für die Prüfung chemischer Desinfektionsmittel" (3. Ed., Stuttgart: Gustav Fischer Verlag, 1972), and was comparable to a chloramine T solution containing the same amount of active halogen (Tab. 3). The decrease of disinfection power compared with the suspension test can be attributed to a great error induced by protein.

[The impact of the androgen receptor splice variant AR-V7 on the prognosis and treatment of advanced prostate cancer].

PubMed

Thelen, P; Taubert, H; Duensing, S; Kristiansen, G; Merseburger, A S; Cronauer, M V

2018-01-25

A recently discovered mechanism enabling prostate cancer cells to escape the effects of endocrine therapies consists in the synthesis of C-terminally truncated, constitutively active androgen receptor (AR) splice variants (AR-V). Devoid of a functional C-terminal hormone/ligand binding domain, various AR-Vs are insensitive to therapies targeting the androgen/AR signalling axis. Preliminary studies suggest that AR-V7, the most common AR-V, is a promising predictive tumour marker and a relevant selection marker for the treatment of advanced prostate cancer. This review critically outlines recent advances in AR-V7 diagnostics and presents an overview of current AR-V7 targeted therapies. © Georg Thieme Verlag KG Stuttgart · New York.

[Dölle and Bowlby--discourses about sensitivity].

PubMed

Strauss, Bernhard

2011-08-01

Based upon biographical information and a summary of E.A. Dölle's contributions to psychotherapy research, this paper describes how Dölle - obviously during his time in a British war prison - had some encounters with John Bowlby, father of attachment theory, and how these encounters might have influenced Dölle during his later years. These years were spent at the Catholic University Eichstätt, where Dölle tried to positively influence the development of values and their "sensitivity for sensitivity" among Catholic students. The paper concludes that Dölle probably would be disappointed if he could see current developments within science and - even more - within society. George Thieme Verlag KG Stuttgart · New York.

[Exists an Obligation to be Healthy? Ethical Limits of Medical Prevention].

PubMed

Arntz, K

2016-02-01

An obligation to be healthy in the sauce of a categorical imperative "You shall change your life!" (P. Sloterdijk) does not exist. There is however a moral responsibility to shape ones own life in such a way that the resulting potentials for development can be realized within one owns possibilities (I. Kant). The example of predictive medicine illustrates, why the right not to know can be a responsible way of self governance when dealing with the knowledge of modern biomedicine. This allows the setting of limits within prevention, which preserve the quality of life of the exposed as well as enabling the individual the "acceptance of self" (R. Guardini). © Georg Thieme Verlag KG Stuttgart · New York.

[Pulmonary Echinococcosis: Surgical Aspects].

PubMed

Eichhorn, M E; Hoffmann, H; Dienemann, H

2015-10-01

Pulmonary cystic echinococcosis is a very rare disease in Germany. It is caused by the larvae of the dog tapeworm (echinococcus granulosus). The liver is the most affected organ, followed by the lungs. Surgery remains the main therapeutic approach for pulmonary CE. Whenever possible, parenchyma-preserving lung surgery should be preferred over anatomic lung resections. To ensure best therapeutic results, surgery needs to be performed under precise consideration of important infectiological aspects and patients should be treated in specialised centres based on interdisciplinary consensus. In addition to surgical aspects, this review summarises special infectiological features of this disease, which are crucial to the surgical approach. Georg Thieme Verlag KG Stuttgart · New York.

[Facilitating Processes of Disintegration instead of Occupational Reintegration: A Qualitative Study on Employer-Involvement in Rehabilitation].

PubMed

Schwarz, Betje; Specht, Timo; Bethge, Matthias

2017-12-01

Purpose To explore the patient's perspective on the involvement of employers into rehabilitation. Methods 8 participants of a work-related medical rehabilitation were interviewed by telephone 4 weeks after discharge. Qualitative content analysis was used to analyze generated data. Results Beside a poor employer-involvement, the interviews revealed that the process of returning to work was characterized and hampered by unused measures of supporting vocational reintegration during rehabilitation, intersection problems in the health care and social security system, and a strategy of waiting by all involved actors. Conclusion Beside an improved employer-involvement, systematic intersection management and full usage of existing measures are demanded to support vocational reintegration. © Georg Thieme Verlag KG Stuttgart · New York.

Antiplasmodial and Cytotoxic Activity of Raw Plant Extracts as Reported by Knowledgeable Indigenous People of the Amazon Region (Vaupés Medio in Colombia).

PubMed

Pabón, Adriana; Ramirez, Otoniel; Ríos, Alexandra; López, Ena; de Las Salas, Briegel; Cardona, Felipe; Blair, Silvia

2016-05-01

The in vitro antiplasmodial activity of 122 raw extracts prepared in ethanol and water from 35 medicinal plants reported by the Cubeo indigenous village of the Amazon region (Vaupés Medio in Colombia) was evaluated for efficacy against 3D7 (sensitive to chloroquine) and FCR-3 (resistant to chloroquine) Plasmodium falciparum strains. Five percent of these extracts presented a significant antiplasmodial activity (< 5 µg/mL) and 83 % of them were not cytotoxic. These findings highlight the importance of investigating traditional medicinal plants implemented by these ancestral communities of the Amazon region as well as their potential to become a source of new drugs against malaria. Georg Thieme Verlag KG Stuttgart · New York.

["Burnout"--is it a disease or rather a consequence of (work-) stress?].

PubMed

Koehler, U; Koehler, Y L

2014-08-01

Burnout is a work related health impairment comprising three dimensions: emotional exhaustion, depersonalisation and reduced personal accomplishment. Not least because of the highly frequented term "burnout" within the German speaking area, there is a rising interest in the connection of work related stress and psychological and somatic complaints. Burnout is not a disease in the proper sense but a physiological construct. Coherence between work related stress and the development of psychological and somatic diseases has been proven by many studies. However burnout requires a differential diagnostic categorisation. Therapeutic procedures and prevention measures should be initiated based on the forms and categorisation of work related stress. © Georg Thieme Verlag KG Stuttgart · New York.

Expression of Estrogen Receptors Alpha (ER-α), Beta (ER-β), and G Protein-Coupled Receptor 30 (GPR30) in Testicular Tissue of Men with Klinefelter Syndrome.

PubMed

Bernardino, R L; Alves, M G; Silva, J; Barros, A; Ferraz, L; Sousa, M; Sá, R; Oliveira, P F

2016-06-01

Men with Klinefelter syndrome (KS) present severe hormonal dysregulation, particularly elevated serum estradiol concentration. Estrogens act through specific receptors and regulate testes development and spermatogenesis. Herein, we evaluated GPR30, ERα, and ERβ mRNA expression in testis of KS men and men with 46XY karyotype by reverse transcriptase and quantitative PCR. ERβ transcripts are the most abundant in testicular tissue of 46XY men. Notably, testicular GPR30 transcription in KS men was approximately 12 times higher. Since GPR30 is essential to mediate estrogen effects over steroidogenesis, our data illustrate that GPR30 may underpin the testicular alterations observed in KS men. © Georg Thieme Verlag KG Stuttgart · New York.

[Loudness optimized registration of compound action potential in cochlear implant recipients].

PubMed

Berger, Klaus; Hocke, Thomas; Hessel, Horst

2017-11-01

Background Postoperative measurements of compound action potentials are not always possible due to the insufficient acceptance of the CI-recipients. This study investigated the impact of different parameters on the acceptance of the measurements. Methods Compound action potentials of 16 CI recipients were measured with different pulse-widths. Recipients performed a loudness rating at the potential thresholds with the different sequences. Results Compound action potentials obtained with higher pulse-widths were rated softer than those obtained with smaller pulse-widths. Conclusions Compound action potentials measured with higher pulse-widths generate a gap between loudest acceptable presentation level and potential threshold. This gap contributes to a higher acceptance of postoperative measurements. Georg Thieme Verlag KG Stuttgart · New York.

[Subclinical hyperthyroidism].

PubMed

Feldkamp, J

2013-10-01

Subclinical hyperthyroidism is defined as abnormal low TSH level with thyroid hormones within their reference range. This laboratory condition may be symptomatic in a relevant number of patients leading to tachycardia, sweating, nervousness, anxiety and insomnia. The risk for cardiovascular disease is increased with more frequent atrial fibrillation and increased left ventricular mass including diastolic dysfunction. Cardiovascular mortality and overall mortality surmounts the average of the normal population. Longterm TSH suppression leads to decreased bone mineral density and an increased fracture rate in the hip and in the spine. After evaluation of underlying causes, therapy should be considered, especially if TSH levels are below 0.1 mIU/l. © Georg Thieme Verlag KG Stuttgart · New York.

[Testing for thrombophilia in patients with venous thromboembolism - why and whom to test?

PubMed

Linnemann, Birgit

2016-09-01

Hereditary and acquired thrombophilias are known risk factors for a first venous thromboembolism (VTE). In contrast, the relative risk of VTE recurrence in presence of hereditary thrombophilia seems to be at most moderately elevated. However, thrombophilia still contributes to a greater extent to the absolute risk of VTE recurrence. This is explained by the 20-50-fold increased risk of VTE in a subject after a first VTE when compared to the state without previous VTE. Testing for thrombophilia may therefore be helpful in patients at intermediate risk of recurrence in whom the finding of a "strong" thrombophilia can bring about a decision for long-term anticoagulation. © Georg Thieme Verlag KG Stuttgart · New York.

[The fate of Polish psychiatry under German occupation during World War II].

PubMed

Leidinger, Friedrich

2014-07-01

Polish psychiatry was since its origin deeply influenced by German (Austrian) and Russian psychiatry. After the German assault Polish psychiatric patients were the first victims of mass executions, and the first to be killed by new developed "gassing" technology. Especially cruel was the fate of Jewish patients. German "health policy" in occupied Poland was only "starvation or shooting". Some hospitals continued working under German rule and received patients from Germany in the framework of Nazi-"euthanasia". The article describes the mostly ignored facts of the close link between the medical programme of annihilation of the "unfit" and the genocide of Poles and Jews. © Georg Thieme Verlag KG Stuttgart · New York.

[The QuIK-Registry of the German Society of Cardiologists in private practice: countrywide and benchmarking quality assurance in invasive cardiology].

PubMed

Albrecht, A; Levenson, B; Göhring, S; Haerer, W; Reifart, N; Ringwald, G; Troger, B

2009-10-01

QuIK is the German acronym for QUality Assurance in Invasive Cardiology. It describes the continuous project of an electronic data collection in Cardiac catheterization laboratories all over Germany. Mainly members of the German Society of Cardiologists in Private Practice (BNK) participate in this computer based project. Since 1996 data of diagnostic and interventional procedures are collected and send to a registry-center where a regular benchmarking analysis of the results is performed. Part of the project is a yearly auditing process including an on-site visit to the cath lab to guarantee for the reliability of information collected. Since 1996 about one million procedures have been documented. Georg Thieme Verlag KG Stuttgart , New York.

(Integrity of pressure components of nuclear power plants)

DOE Office of Scientific and Technical Information (OSTI.GOV)

Merkle, J.G.

1989-11-03

The traveler attended the 15th annual MPA Seminar at the University of Stuttgart and the European Symposium on Elastic-Plastic Fracture Mechanics (EPFM) at Freiburg, FRG. Following the symposium the traveler made visits to the IWM Laboratory in Freiburg, FRG, the GKSS Research Center in Geesthacht, FRG, the Welding Institute in Cambridge, UK, and the Structural Integrity Centre at Risley, Warrington, UK. Principal subjects of discussion during the laboratory visits were the measurement of fracture toughness in the upper transition temperature range and the possibility of cooperative analytical and experimental efforts concerning the effects of biaxial stresses on fracture toughness formore » finite length surface cracks in plates and pressure vessel cylinders.« less

[OR-management and self-improvement - a discrepancy?].

PubMed

Casutt, Mattias; Konrad, Christoph; Schüpfer, Guido

2014-10-01

Today, operating room management is essential for a modern hospital. The strategic controls of this cost-intensive area and the ongoing cost pressure have necessitated management attention to this area. Economical, processual and quality data are well-known and established, although analysis of different health delivering organisations by benchmarking is still difficult. It remains still a severe task for the management of an OR and anaesthesia department. For these fields data is needed to identify and measure the performance of these departments in the dimensions of finances, development, processes and patient's needs. The key performance indicators are exemplified for an anaesthesia department and discussed. © Georg Thieme Verlag Stuttgart · New York.

Medical treatment of hyperthyroidism: state of the art.

PubMed

Fumarola, A; Di Fiore, A; Dainelli, M; Grani, G; Calvanese, A

2010-11-01

Methimazole (MMI) and propylthiouracil (PTU) are the main antithyroid drugs used for hyperthyroidism. They inhibit the synthesis of thyroid hormone at various levels and are used as the primary treatment for hyperthyroidism or as a preparation before radioiodine therapy or thyroidectomy. MMI is the drug of choice because of its widespread availability, longer half-life and small number of severe side effects. Drugs of second choice are potassium perchlorate, beta blockers, iodine, lithium carbonate and glucocorticoids. Rituximab, a monoclonal antibody directed against human CD20, was recently proposed as a biological therapy for cases of Graves' disease unresponsive to traditional drugs. © J. A. Barth Verlag in Georg Thieme Verlag KG Stuttgart · New York.

A massive intestinal vaso-occlusive crisis or "girdle syndrome" in a 6-year-old boy observed as a first manifestation of sickle cell disease.

PubMed

Knorr, M; Bienemann, K; Walde, G; Kaufhold, A; Schündeln, M M

2014-11-01

Sickle cell disease is a chronic hematologic disease with variable but often severe systemic symptoms. In this report, we describe a 6-year-old boy presenting with acute bowel pseudo-obstruction. During this episode, previously undiagnosed sickle cell disease was discovered upon peripheral blood smear analysis. The condition was therefore interpreted as a massive intestinal vaso-occlusive crisis or "girdle syndrome". Conservative treatment with hydration therapy, analgesia and a manual partial exchange transfusion was initiated. The patient fully recovered within 5 days. Girdle syndrome is a rare but severe adverse event associated with sickle cell disease that must be considered as differential diagnosis in patients with sickle cell disease. © Georg Thieme Verlag KG Stuttgart · New York.

[GINA 2014: Yin and Yang].

PubMed

Kardos, P

2014-12-01

After 8 years the Global Initiative for Asthma (GINA) presented a fully revised report. In May 2014 the new GINA was published online [www.ginasthma.org]. On a live GINA Session at the European Respiratory Society (ERS) conference 2014 in Munich members of the board of directors and of the science committee presented the new contents, e.g. the GINA statement from page one, that GINA is "Not a guideline, but a practical approach to managing asthma in clinical practice"--was explicitly emphasized on the ERS. This may reflect a changing claim towards a more pragmatic attempt (but probably also the fear of liability). © Georg Thieme Verlag KG Stuttgart · New York.

New chalcone and dimeric chalcones with 1,4-p-benzoquinone residue from Combretum yunnanense.

PubMed

Wu, Ming-Mei; Wang, Li-Qin; Hua, Yan; Chen, Ye-Gao; Wang, Yuan-Yuan; Li, Xing-Yao; Li, Yan; Li, Ting; Yang, Xun-Yun; Tang, Zheng-Rong

2011-03-01

New chalcone and dimeric chalcones with 1,4- P-benzoquinone residue, combrequinone A (1), combrequinone B (2), and combrequinone C (3), along with three known compounds (4-6), were isolated from the ethanolic extract of the stems and leaves of Combretum yunnanense, and their structures were determined by spectroscopic analysis. Compounds 1-3 were evaluated for in vitro cytotoxicity against five human cancer cell lines: HL-60, SMMC-7721, A-549, MCF-7, and SW480. Compounds 1, 2 and 3 were found to be most potent against HL-60 acute leukemia cells, with IC₅₀ values of 4.63, 4.07, and 1.26 µM, respectively. © Georg Thieme Verlag KG Stuttgart · New York.

[The balanced scorecard--applications in a radiology department].

PubMed

Maurer, M H; Teichgräber, U; Kröncke, T J; Hamm, B; Lemke, A J

2012-12-01

The balanced scorecard (BSC) represents a comprehensive management tool for organizations with the aim to focus all activities on a chosen strategy. Targets for various perspectives of the environment such as the customer, financial, process, and potential perspective are linked with concrete measures, and cause-effect relationships between the objectives are analyzed. This article shows that the BSC can also be used for the comprehensive control of a radiology department and thus provides a meaningful contribution in organizing the various diagnostic and treatment services, the management of complex clinical environment and can be of help with the tasks in research and teaching. © Georg Thieme Verlag KG Stuttgart · New York.

Numerical Investigation of the Performance of a Supersonic Combustion Chamber and Comparison with Experiments

NASA Astrophysics Data System (ADS)

Banica, M. C.; Chun, J.; Scheuermann, T.; Weigand, B.; Wolfersdorf, J. v.

2009-01-01

Scramjet powered vehicles can decrease costs for access to space but substantial obstacles still exist in their realization. For example, experiments in the relevant Mach number regime are difficult to perform and flight testing is expensive. Therefore, numerical methods are often employed for system layout but they require validation against experimental data. Here, we validate the commercial code CFD++ against experimental results for hydrogen combustion in the supersonic combustion facility of the Institute of Aerospace Thermodynamics (ITLR) at the Universität Stuttgart. Fuel is injected through a lobed a strut injector, which provides rapid mixing. Our numerical data shows reasonable agreement with experiments. We further investigate effects of varying equivalence ratios on several important performance parameters.

[Headache Treatment].

PubMed

Diener, Hans Christoph; Holle-Lee, Dagny; Nägel, Steffen; Gaul, Charly

2017-03-01

A precondition for the successful treatment of headaches is the correct headache diagnosis. Triptans are effective for attack treatment of migraine and cluster headache. However, there are not effective for the treatment of tension-type headache. For the prevention of frequent episodic migraine betablockers, flunarizine, topiramate and amitriptyline are recommended. For the prevention of chronic migraine evidence is only available for onabotulinumtoxinA and topiramate. For prophylactic treatment of tension-type headaches tricyclic antidepressants are used. In cluster headache verapamil (in combination with steroids) is the most frequently used prophylactic agent. This article focusses on the current acute and prophylactic treatment of common headache syndromes. © Georg Thieme Verlag KG Stuttgart · New York.

[Coagulation Monitoring and Bleeding Management in Cardiac Surgery].

PubMed

Bein, Berthold; Schiewe, Robert

2018-05-01

The transfusion of allogeneic blood products is associated with increased morbidity and mortality. An impaired hemostasis is frequently found in patients undergoing cardiac surgery and may in turn cause bleeding and transfusions. A goal directed coagulation management addressing the often complex coagulation disorders needs sophisticated diagnostics. This may improve both patients' outcome and costs. Recent data suggest that coagulation management based on a rational algorithm is more effective than traditional therapy based on conventional laboratory variables such as PT and INR. Platelet inhibitors, cumarins, direct oral anticoagulants and heparin need different diagnostic and therapeutic approaches. An algorithm specifically developed for use during cardiac surgery is presented. Georg Thieme Verlag KG Stuttgart · New York.

[Differences between patients in consultation psychiatry and psychiatric inpatients].

PubMed

Unterecker, Stefan; Maloney, Julia; Pfuhlmann, Bruno; Deckert, Jürgen; Warrings, Bodo

2014-05-01

To optimize psychiatric consultation service epidemiological information is needed. We compared data on gender, age and diagnoses of patients in the consultation service to psychiatric inpatients. In psychiatric consultation service patients are older (56.6 vs. 44.9 years, p < 0.05) and males are older than females (58.8 vs. 54.4 years, p < 0.05). For male patients, the psychiatric consultation service is contacted more often in cases of organic disorders, for females in adjustment disorders (p < 0.05). The diagnostic spectrum in psychiatric consultation service is different for males and females with relevance for diagnostic and therapeutic procedures. © Georg Thieme Verlag KG Stuttgart · New York.

Hybrid endovascular stent-grafting technique for patent ductus arteriosus in an adult.

PubMed

Kainuma, S; Kuratani, T; Sawa, Y

2011-09-01

A 51-year-old man was referred to our institution for patent ductus arteriosus (PDA) complicated by left ventricular dysfunction and pulmonary hypertension. Surgical closure of a PDA is usually carried out via a small posterior thoracotomy. However, thoracoscopic procedures are probably not appropriate in adults because of the frequency of calcification and the greater risk of rupture while ligating the ductus. To minimize surgical trauma, we used hybrid endovascular stent grafting combined with revascularization of the left subclavian artery, which enabled us to eliminate shunt flow to the pulmonary artery. At 11-month follow-up, the patient was asymptomatic and showed no complications. © Georg Thieme Verlag KG Stuttgart · New York.

[Is "mental health" part of the common good? The sociopolitical framework of psychiatric ethics and the responsibility of health-care elites].

PubMed

Bohlken, Eike

2014-07-01

Psychiatric work can only be that ethical as the framework of a health-care system allows. Thus, the responsibility of the health-care elites to establish a sociopolitical framework that suits psychiatric ethics is discussed on the basis of a theory of the common good and of a philosophical and normative elite theory. "Mental health" is demonstrated to be part of a basic sphere of the common good which cannot be denied to any member of a society. The final section discusses which specific duties can be derived for health-care elites on the ground of the aforementioned conception of "mental health" as a part of the common good. © Georg Thieme Verlag KG Stuttgart · New York.

[Improvement of Psychosomatic Rehabilitation after Prestationary Intervention].

PubMed

Sander, K; Winkler, G; Hofer, N; Hunatschek, S; Doerr, R

2016-12-01

Aim of the study: Improvement of psychosomatic rehabilitation efforts with prestationary intervention. Method: The study is designed as a prospective and randomisized interventon study including 317 in patients. Result: Most of the patients were women (69.4 %), the mean age was 50.2 years. As measured with the BDI-II patients with prestationary intervention improved more than patients without intervention. The motivation has not been changed significantly in both treatment arms. Various independent cofactors like long duration of unemployment, disablement and patients who apply to pension were identified. Conclusion: Finally a prestationary telephon interview improves the results of psychosomatic rehabilitation measured with BDI. © Georg Thieme Verlag KG Stuttgart · New York.

["In psychiatry, nothing more degrading can happen to you"].

PubMed

Frajo-Apor, Beatrice; Stippler, Maria; Meise, Ullrich

2011-08-01

OBJECTIVE The subjective view of psychiatric patients on mechanical restraint is to be examined and the necessity of dealing with this issue consciously is to be pointed out. METHODS 14 patients, who experienced mechanical restraint during a stay in a psychiatric hospital, were questioned in a problem-centered, semi-structured interview. Data analysis was based on inductive category formation, using Mayring's qualitative content analysis. RESULTS Mechanical restraint is primarily experienced as stressful or traumatizing. Patients complain about a lack of information, support and response when referring to mechanical restraint. CONCLUSION Reports of patients who have experienced coercive measures should be increasingly integrated into clinical practice. © Georg Thieme Verlag KG Stuttgart · New York.

Self-expanding metal stents for treatment of anastomotic complications after colorectal resection.

PubMed

Lamazza, A; Fiori, E; De Masi, E; Scoglio, D; Sterpetti, A V; Lezoche, E

2013-06-01

Self-expanding metal stents (SEMS) can be used to treat patients with symptomatic anastomotic complications after colorectal resection. In the present case series, 16 patients with symptomatic anastomotic stricture after colorectal resection were treated with endoscopic placement of SEMS. Seven patients had a "simple" anastomotic stricture and nine patients had a fistula associated with the stricture. The anastomotic fistula healed without evidence of residual stricture or major fecal incontinence in seven of the nine patients. Overall the anastomotic stricture was resolved in 10 of the 16 patients. SEMS placement represents a valid adjunctive to treatment in patients with symptomatic anastomotic complications after colorectal resection for cancer. © Georg Thieme Verlag KG Stuttgart · New York.

[DGSMP - Interdisciplinarity to Advance Social Medicine and Prevention of Illness].

PubMed

Gaertner, T; Mittelstaedt, G v

2016-02-01

The German Society for Social Medicine and Prevention (DGSMP) refers back to a tradition of over more than 100 years, nevertheless having a critical look at it. As a scientific medical society the DGSMP promotes cross-sectoral configuration of contemporary social medicine to the benefit of both, general welfare and individual health in form of prevention, rehabilitation, re-integration, palliation and long-term care. Human medicine is the lead discipline in the interdisciplinary approach by the DGSMP in order to create - facing the dynamics in the health care system - professional prerequisites to maintain and update solidarity and equity in medical services on a scientific basis. © Georg Thieme Verlag KG Stuttgart · New York.

[Modern didactics in surgical education--between demand and reality].

PubMed

Pape-Köhler, C; Chmelik, C; Rose, M; Heiss, M M

2010-12-01

Surgical residency contains an inadequate amount of hands-on training in the operating room and time constraints further make this type of education on the floor unlikely. Due to these deficits in residency training, private surgical courses outside of the established residency programmes are in high demand. Therefore, surgical residents must spend their own resources and time in addition to their residency training in order to receive adequate clinical exposure. Didactic approaches like problem-based learning have begun to influence our modern education. These novel education approaches along with visualisation training, video-based presentations, and multimedia-based training can be useful adjuncts to traditional surgical training. © Georg Thieme Verlag Stuttgart ˙ New York.

Adapting ethanol fuels to diesel engines

DOE Office of Scientific and Technical Information (OSTI.GOV)

Not Available

During the 2nd International Alcohol Symposium 1977, Daimler-Benz reported on the advantages and disadvantages of the various methods of using ethanol in originally diesel-operated commercial vehicles, and especially about the first results in the field of adapting the ethanol fuel to the requirements of conventional diesel engines. Investigations to this effect were continued by Daimler-Benz AG, Stuttgart, and Mercedes-Benz of Brasil in coordination with competent Brazilian government departments. The development effort is primarily adapted to Brazilian conditions, since ethanol fuel is intended as a long-term project in this country. This report is presented under headings - auto-ignition; durability tests; remedialmore » measures; the injection systems; ethanol quality.« less

Renin and aldosterone measurements in the management of arterial hypertension.

PubMed

Viola, A; Monticone, S; Burrello, J; Buffolo, F; Lucchiari, M; Rabbia, F; Williams, T A; Veglio, F; Mengozzi, G; Mulatero, P

2015-06-01

Renin-angiotensin-aldosterone system (RAAS) is recognized as the main regulatory system of hemodynamics in man, and its derangements have a key role in the development and maintenance of arterial hypertension. Classification of the hypertensive states according to different patterns of renin and aldosterone levels ("RAAS profiling") allows the diagnosis of specific forms of secondary hypertension and may identify distinct hemodynamic subsets in essential hypertension. In this review, we summarize the application of RAAS profiling for the diagnostic assessment of hypertensive patients and discuss how the pathophysiological framework provided by RAAS profiling may guide therapeutic decision-making, especially in the context of uncontrolled hypertension not responding to multi-therapy. © Georg Thieme Verlag KG Stuttgart · New York.

[Depression, social support and compliance in patients with chronic heart failure].

PubMed

Reutlinger, Julia; Müller-Tasch, Thomas; Schellberg, Dieter; Frankenstein, Lutz; Zugck, Christian; Herzog, Wolfgang; Lossnitzer, Nicole

2010-01-01

Depressive patients with chronic heart failure (CHF) show less social integration and greater physical impairment as well as poorer compliance than non depressive CHF patients. Using multiple regression analyses, this study (n=84) investigated a potential mediating effect of depression on the relationship between compliance and both social support and physical functioning. Results did not support the hypothesized mediating effect of depression. However, the variables age, depression, left ventricular ejection fraction (LVEF) and social support were associated with self-reported compliance. Therefore, a lack of social support and depression should be considered as possible reasons, if patients are noncompliant during the treatment process. © Georg Thieme Verlag KG Stuttgart · New York.

[Insomnia Between Neuro- and Social Sciences - A Psycho-Socio-Somatic Outview].

PubMed

Cohrs, S; Hacker, T; Marx, I; Goerke, M

2016-10-01

Insomnia is one of the most prevalent neuropsychiatric disorders throughout Europe. It is associated with a number of health-relevant problems including an increased risk of psychiatric and organic disorders. A variety of organic, social and psychological risk factors takes part in the genesis of these sleep disturbances. A key component of the pathophysiology is the multifaceted hyperarousal that is expressed in the cognitive, emotional, neuronal, neuroendocrine, the hypothalamo-pituitary-adrenal axis, and further neurovegetative domains. Recent studies document in addition to identified risk factors for insomnia a number of protective factors that are relevant for the individual as well as society. © Georg Thieme Verlag KG Stuttgart · New York.

Aspiration in children and adolescents with neurogenic dysphagia: comparison of clinical judgment and fiberoptic endoscopic evaluation of swallowing.

PubMed

Beer, Sabrina; Hartlieb, Till; Müller, Arnd; Granel, Michael; Staudt, Martin

2014-12-01

A total of 30 children and adolescents with dysphagia due to various chronic neurological disorders were assessed for their risk of aspiration. This assessment was performed clinically by experienced speech and swallowing therapists, and verified thereafter by fiberoptic endoscopy. We found the clinical judgment to be correct in only 70% (for aspiration of saliva), 55% (of puree), and 67% (of thin liquids). We conclude that, because of this unacceptably high error rate of clinical assessment, a fiberoptic evaluation of swallowing is a necessary diagnostic step both for the planning of therapy and for the development of feeding strategies in children and adolescents with neurogenic dysphagia. Georg Thieme Verlag KG Stuttgart · New York.

The Problem of Mammographic Breast Density - The Position of the DEGUM Working Group on Breast Ultrasound.

PubMed

Mueller-Schimpfle, M P; Brandenbusch, V C; Degenhardt, F; Duda, V; Madjar, H; Mundinger, A; Rathmann, R; Hahn, M

2016-04-01

Mammographic breast density correlates with breast cancer risk and also with the number of false-negative calls. In the USA these facts lead to the "Breast Density and Mammography Reporting Act" of 2011. In the case of mammographically dense breasts, the Working Group on Breast Ultrasound in Germany recommends explaining the advantages of adjunct imaging to women, depending on the individual breast cancer risk. Due to the particular structure of German healthcare, quality-assured breast ultrasound would be the first choice. Possible overdiagnosis, costs, potentially increased emotional stress should be addressed. In high familial breast cancer risk, genetic counselling and an intensified early detection program should be performed. © Georg Thieme Verlag KG Stuttgart · New York.

[Function and structure of the Federal Joint Committee and the Institute for Quality and Efficiency in Health Care in consideration of patient involvement].

PubMed

Mühlbauer, V; Teupen, S

2014-01-01

The Federal Joint Committee and the Institute for Quality and Efficiency in Health Care have become important players in the German health care system, not only since the benefit assessment of pharmaceuticals and the Act on the Reform of the Market for Medicinal Products (AMNOG) were established. However, the manifold tasks and duties these institutions have besides the benefit assessment of pharmaceuticals is less known, just as the role the patient's representatives play. The function and structure of the Federal Joint Committee and the Institute for Quality and Efficiency in Health Care as well as their collaboration in consideration of patient involvement will be explained in this article. © Georg Thieme Verlag KG Stuttgart · New York.

[Symptoms of social phobia and their relationship to interpersonal characteristics in a sample of German medical students].

PubMed

Baldauf, Matthias; Thomas, Andrea; Strauß, Bernhard

2014-02-01

The study aimed to detect the frequency of social phobia symptoms in a sample of German medical students and to compare students with and without these symptoms related to interpersonal characteristics. 525 students filled out a battery of self-report questionnaires consisting of the LSAS (Liebowitz Social Anxiety Scale), the SPAI (Social Phobia Anxiety Inventory), the IIP-32 (Inventar of interpersonal problems) and the IIM (Inventar of interpersonal motives). Relevant social phobia symptoms were found in 12.2%. Students with symptoms of social phobia differed significantly in subscales of the IIP and the IIM. Students with symptoms of social phobia also had higher scores for interpersonal problems especially related to the main issue of being too "socially avoidant". © Georg Thieme Verlag KG Stuttgart · New York.

[Legal quality criteria of expert opinions in liability for medical malpractice].

PubMed

Neu, Johann

2017-09-01

In litigation regarding to liability for medical malpractice the court itself for lack of medical expert knowledge cannot judge a claimed error in treatment. That applies too for the question if there is causation between the error in treatment and claimed damage to patient's health. In this respect, the court is dependent on a medical expert and is bound to his assessment, unless there is no quality deficit in respect of medical and/or legal criteria. The more the medical expert knows the legal background of physician's liability for medical malpractice, the less is the risk of legal quality deficits in his expert opinion and thereby also of judicial errors by court. Georg Thieme Verlag KG Stuttgart · New York.

[Effects of pharmacy market deregulation regarding patient-centred drug care in Germany from a health economics perspecitve].

PubMed

Rumm, R; Böcking, W

2013-03-01

This article analyses the impact of a potential deregulation Germany's pharmacy market by allowing foreign ownership of pharmacies and removing the limit of the number pharmacies that can be owned by a pharmacist. Based on a mathematical model and empirical values of foreign countries, scenarios for the German market are calculated and the impact on all participants of the health care system analysed. The key outcomes are:- A deregulation would enables the creation of pharmacy chains- In all simulated scenarios the total number of pharmacies would drastically grow- The increased pharmacy density improves patient centred drug care- The competition among pharmacies increases and leads to the closure of many independently owned and operated pharmacies. © Georg Thieme Verlag KG Stuttgart · New York.

[Sexual harassment among students - prevalence, developmental factors and potential ways of intervention].

PubMed

Allroggen, M; Rau, T; Fegert, J M

2014-01-01

Sexual harassment among adolescents has long been neglected in Germany though it is frequent and leads to significant strain for the victims. In international studies, the prevalence of sexual harassment ranges from 10 to 80 % among students. For the development of sexual harassment individual as well as school based factors play a role. Different pathways lead to this problematic behaviour. The effect of new media in the development of sexual harassment cannot be estimated so far. Frequent consequences of sexual harassment in addition to school associated difficulties are unspecific somatic complaints. General practitioners and pediatricians are frequently consulted tn the first place. Recommendations for consultation and interventions are presented. © Georg Thieme Verlag KG Stuttgart · New York.

Advances in Silver Nanotechnology: An Update on Biomedical Applications and Future Perspectives.

PubMed

Aziz, Shiva Gholizadeh-Ghaleh; Aziz, Sara Gholizadeh-Ghaleh; Akbarzadeh, Abolfazl

2017-04-01

Nanotechnology is one of the most promising fields for producing new applications in nanotechnology, biotechnology, and medicine. However, only a few products have been used for nanotechnology, biotechnology, and medical purposes. Nanoparticles have been among the most usually applied nanomaterial in our health care system for hundreds of years. The most prominent nano product is nano silver which generally present at 1-100 nm in size in at least one dimension. Silver nanoparticles reveal remarkably unusual chemical, physical and biological properties and have been used for many different applications which detailed in this review. This review is focusing on the different form of silver nanoparticles and its nanotechnological, biotechnological and medical applications. © Georg Thieme Verlag KG Stuttgart · New York.

An air-breathing ballistic space transporter for Europe

NASA Technical Reports Server (NTRS)

Kramer, P. A.; Buehler, R. D.

1985-01-01

With increasing transport requirements, reusable space transporters again receive serious consideration in Europe as successors to the Ariane family. The paper deals with a hydrogen-ramjet-propelled, 1-1/2-stage reusable ballistic space transporter with vertical take-off and landing and using liquid hydrogen/oxygen rockets. This novel concept was developed in a theoretical study at the University of Stuttgart. The results are compared with recently published studies of several other European space transporter concepts. The data derived for the Istra - concept are: 15.4 Mg payload into low Earth-orbit, 155 Mg gross lift-off mass, 10% payload ratio, which represents a 57% propellant saving, and 44% reduction in dry mass (structure and engines) compared with comparable two-stage pure rocket concepts.

[Fraud in the health-care system from the perspective of the public health insurance companies. Empirical findings on the work of anti-fraud agencies].

PubMed

Meier, B D; Homann, D

2010-07-01

The article summarises the results of a study on the activities of the German public health insurance companies to fight fraudulent behaviour in the system. The study is based on the analysis of 140 activity reports of the years 2004 and 2005 which the companies had to deliver to the Federal Social Insurance Authority as well as on the results of an additional survey. The article deals with the number of cases, the phenomenology of the delinquent acts, the referral of the suspicious cases to the law enforcement agencies, and the cooperation with other insurance companies. Finally, the article presents some considerations on an improved prevention of fraud in the public health care system. Copyright Georg Thieme Verlag KG Stuttgart . New York.

[Chronic Obstructive Pulmonary Disease (COPD) - Rational Diagnostics and Therapy].

PubMed

Burkhardt, R; Pankow, W

2016-08-01

In general chronic obstructive pulmonary disease (COPD) can be diagnosed in family practice from history and spirometry. Inconclusive spirometry findings have to be assessed further by techniques available in a pulmonologist's office. Further testing is done for differential diagnostic reasons and for prognostic appraisal. Successful smoking cessation importantly alters the natural downhill course of the disease. Patient education and rehabilitative interventions (e. g. participation in lung sport groups) help to improve life quality. Medical therapies with bronchospasmolytics applied by inhalation as monotherapies, free and fixed combinations have symptomatic benefit. Considering the increase of pneumonia risk from inhaled corticosteroids their use should be restricted to patients with a straightforward indication, e. g. coexisting asthma. © Georg Thieme Verlag KG Stuttgart · New York.

[Addressing the Sexual Health of Severe Mentally Ill People in Residential Facilities: A Pilot Study on the Perspective of Professionals].

PubMed

Höfle, Mariana Carreiro da Costa Faria e Melo; Kieser, Luciana Degano

2016-01-01

The study explores the perspectives of Mental Health Care Professionals on the importance of Sexual Health promotion of severe mentally ill people in Mental Health Care. A qualitative approach was used. Eight semi-structured Problem Centred Interviews were conducted in August 2012 in two residential facilities in Berlin. Participants are aware of the importance of Sexual Health in the psychosocial rehabilitation process. However, they believe Sexual Health Promotion is yet to be acknowledged as a legitimate Mental Health care issue. Sexual Health Promotion is poorly integrated in Mental Health Care practice. However, sexuality contributes strongly to the health and quality of life of users. Adequate guidelines on Sexual Health Promotion are not available and are urgently needed. © Georg Thieme Verlag KG Stuttgart · New York.

Four new cytotoxic tetrahydrofuranoid lignans from Sinopodophyllum emodi.

PubMed

Sun, Yan-Jun; Li, Zhan-Lin; Chen, Hong; Liu, Xiao-Qiu; Zhou, Wei; Hua, Hui-Ming

2012-03-01

Four new tetrahydrofuranoid lignans, (-)-tanegool-7'-methyl ether ( 1), (+)-7'-methoxylariciresinol (2), sinolignan C (3), and epipinoresinol-4,4'-di- O- β- D-glucopyranoside (4), were isolated from the roots and rhizomes of SINOPODOPHYLLUM EMODI together with one known lignan (5). Their structures and stereochemistry were elucidated on the basis of spectroscopic and mass spectrometric evidence. The isolation of compounds 1- 5 represents the first report of tetrahydrofuran lignans from the genus SINOPODOPHYLLUM. The cytotoxic activities of all isolated compounds were evaluated against HeLa and KB cell lines, and compound 1 showed the most potent cytotoxicity with IC₅₀ values of 9.7 µM and 4.7 µM, respectively. © Georg Thieme Verlag KG Stuttgart · New York.

[Professionalization of Legal Dental Experts in Germany: Results of Studies on Structured Focus Groups].

PubMed

Brauer, H U; Walther, W; Dick, M

2018-04-01

Legal expert opinions are a crucial instrument of professional self-control in medicine. To give impulses for further development, focus groups were initiated to reflect upon the perspective of legal dental experts. 5 focus group discussions on the topic "Professionalization of legal dental experts" were conducted. A total of 32 experienced legal dental experts participated in the discussions. The results were evaluated by qualitative content analysis. A catalogue of 68 ideas was generated for improvement and divided into 15 categories. Among these were periodic quality circles, interprofessional exchange, supervision of novices and periodic feedback for legal dental experts and dentists. Self-reflection can be included as an instrument for quality improvement of legal dental expert opinions. © Georg Thieme Verlag KG Stuttgart · New York.

[Info-pocket-guide as a contribution to the prevention of mental illnesses].

PubMed

Corrieri, Sandro; Conrad, Ines; Riedel-Heller, Steffi G

2012-04-01

To assess how Info-Pocket-Guides (IPG) are judged as an overall concept, with specific consideration for their content and design in terms of a successful contribution to the prevention of mental illnesses. Altogether, eight student focus groups were conducted and differentiated according to sex, age, and educational system. Mainly, the respondents consider the IPGs as an appealing design, as well as a convenient and well-liked source of information. Some amendments regarding the range of topics were suggested. While there were doubts on the direct benefit of IPGs for the affected person, they were considered highly valuable for relatives and friends. For the acceptance of IPGs, an age-appropriate and context-involving mediation was found decisive. © Georg Thieme Verlag KG Stuttgart · New York.

[Refraction after Implantation of Multifocal and Presbyopia-Correcting Intraocular Lenses].

PubMed

Kretz, F T A; Linz, K; Mueller, M; Gerl, M; Koss, M J; Gerl, R H; Auffarth, G U

2015-08-01

Nowadays, further developments in the field of intraocular lenses offer a higher level of spectacle independence for our patients. As light gets scattered on different focal points a wider range of defocus is created. This greater defocus area makes it more difficult for us to determine the objective or subjective refraction. This contribution is concerned with the difficulties of measuring visual acuity in different intraocular lens designs and different measurement distances. Measuring refraction after implantation of a multifocal intraocular lens is a complex procedure and the experience of the examiner plays a crucial role. Retinoscopy, keratometry and the defocus curve are reliable methods for testing, while the auto refractometer, bichromatic testing and the cross-cylinder have limitations. Georg Thieme Verlag KG Stuttgart · New York.

[Trauma and psychosis in german psychiatry - a historical analysis].

PubMed

Kloocke, Ruth; Schmiedebach, Heinz-Peter; Priebe, Stefan

2010-04-01

The paper reports an historical analysis of the debate on trauma and psychosis in German psychiatry. Content analysis of five leading German psychiatric journals between 1889 and 2005. A substantial number of publications until the late 1960s addressed different aspects of potential links between trauma and subsequent psychosis. Papers exclusively focused on traumatic experience in adulthood. Most papers showed a negative attitude towards the idea of traumatic experiences causing psychosis. The debate on psychological trauma and psychosis refers to a long tradition in German psychiatry. Whilst the discussion contributed significantly to concepts and classifications of psychotic illnesses, it did not generate a coherent model for the potential association of trauma and subsequent psychotic disorder. Copyright Georg Thieme Verlag KG Stuttgart . New York.

[Application of the Salzburg reading desk in accommodation and presbyopic research].

PubMed

Dexl, A K

2011-08-01

The determination of reading acuity is still the most important clinical examination, whenever the potential benefits of "presbyopic surgery" are compared. Reading distance--the by far most critical parameter in testing reading acuity--seems to be quite variable for every patient tested, whenever patients are allowed to freely choose a subjectively convenient reading distance. Therefore, measuring reading acuity with a fixed reading distance does not allow conclusions to be drawn on the "every-day reading ability" of individual patients. Since 2004, the Eye Clinic of Salzburg University has been continuously working on the development of a standardised device that enables clinicians and researchers to systematically evaluate every patient's individual reading performance under standardised conditions. © Georg Thieme Verlag KG Stuttgart · New York.

[S2k-Guideline on Meniscal Disease: Non-operative and Surgical Management].

PubMed

Siebert, Christian H; Becker, Roland; Buchner, Matthias; Förster, Jürgen; Frosch, Karl-Heinz; Losch, Andreas; Niemeyer, Philipp; Scheffler, Sven

2018-03-12

A meniscal injury should not automatically lead to surgery. Even in light of all the developments in arthroscopic surgery, non-operative management still has a place in the treatment algorithms for lesions around the knee. In this second publication of the German guidelines for meniscal surgery, the authors describe the various treatment possibilities, their indications and offer critical insight into the various therapeutic options. This will allow the patient and physician alike to make the proper individual decisions. Various German speaking associations addressing topics surrounding the knee have joined forces to develop these guidelines for meniscal lesions. The hope is that these two publications on the topic will shed light on the ongoing debate and offer some guidance. Georg Thieme Verlag KG Stuttgart · New York.

Application of a multi-beam vibrometer on industrial components

DOE Office of Scientific and Technical Information (OSTI.GOV)

Bendel, Karl

2014-05-27

Laser Doppler vibrometry is a well proven tool for the non-contact measurement of vibration. The scanning of several measurement points allows to visualize the deflection shape of the component, ideally a 3D-operating deflection shape, if a 3-D scanner is applied. Measuring the points sequentially, however, requires stationary behavior during the measurement time. This cannot be guaranteed for many real objects. Therefore, a multipoint laser Doppler vibrometer has been developed by Polytec and the University of Stuttgart with Bosch as industrial partner. A short description of the measurement system is given. Applications for the parallel measurement of the vibration of severalmore » points are shown for non-stationary vibrating Bosch components such as power-tools or valves.« less

[The hidradenocarcinoma of the wrist - an extremely rare malignant carcinoma: case presentation and literature review].

PubMed

Arsalan-Werner, A; Mentzel, T; Kempf, B; Sauerbier, M

2013-10-01

Hidradenocarcinomas are rare, yet highly malignant tumors of eccrine sweat gland origin. Due to its locally aggressive growth and likelihood for metastasis it should be considered as a differential diagnosis especially in case of suspicious intraoperative findings. We report the case of a 73-year-old female patient presenting with a hidradenocarcinoma of the wrist. Treatment of hidradenocarcinomas is similar to the treatment of sarcomas: The first step is an incisional biopsy and obtaining an expert second opinion on the histopathological diagnosis as well as staging. The second step is a clear margin resection of the tumor and the plastic-surgical reconstruction. A long-term follow-up is mandatory to detect potential recurrence or metastasis. © Georg Thieme Verlag KG Stuttgart · New York.

[Legal aspects of delegation and reorganisation of medical services in the psychiatric field].

PubMed

Jordan, Wolfgang; Adler, Lothar; Bleich, Stefan; Cohrs, Stefan; von Einsiedel, Regina; Falkai, Peter; Grosskopf, Volker; Hauth, Iris; Steiner, Johann

2011-11-01

Current psychiatric-psychotherapeutic in-patient care takes place in an area of tension between increasing treatment requirements and the persistent lack of qualified staff. The optimisation of the diagnostic-therapeutic procedures in a clinic helps to reduce existing care deficits or to generate resources for future developments. The subject of delegation and substitution of medical services is considered in this context. Inadequate knowledge of the legal situation on the part of the decision makers impairs the indispensable trustful cooperation among the professions and adds to the uncertainty of all those concerned. The present paper outlines the legal, organisational and health policy aspects of delegation and the reorganisation of medical activities in the field of psychiatry. © Georg Thieme Verlag KG Stuttgart · New York.

[Is there an association between intra-familiar sexual abuse and sexual offences in later life?].

PubMed

Dudeck, Manuela; Drenkhahn, Kirstin; Spitzer, Carsten; Barnow, Sven; Freyberger, Harald Jürgen; Grabe, Hans Jörgen

2012-07-01

12-35% of all sexual delinquents report victimization through early sexual abuse. To date, studies are based on small samples and mostly come from English-language countries. As part of an interdisciplinary study on the human rights situation in long-term imprisonment, we examined 1,055 prisoners from 11 countries in Europe with the posttraumatic stress diagnostic scale (PDS) concerning their traumas in relation to their offences. Sexual delinquents who reported own prior sexual abuse within the family had a fourfold increase in committing sexual offences later in their life compared to other offenders. A detailed trauma history which includes sexual offences within the family is essential for adequate therapy and relapse prevention. © Georg Thieme Verlag KG Stuttgart · New York.

Inhibition of the ubiquitin-proteasome system by natural products for cancer therapy.

PubMed

Tsukamoto, Sachiko; Yokosawa, Hideyoshi

2010-08-01

The ubiquitin-proteasome system plays a critical role in selective protein degradation and regulates almost all cellular events such as cell cycle progression, signal transduction, cell death, immune responses, metabolism, protein quality control, development, and neuronal function. The recent approval of bortezomib, a synthetic proteasome inhibitor, for the treatment of relapsed multiple myeloma has opened the way to the discovery of drugs targeting the proteasome and ubiquitinating and deubiquitinating enzymes as well as the delivery system. To date, various synthetic and natural products have been reported to inhibit the components of the ubiquitin-proteasome system. Here, we review natural products targeting the ubiquitin-proteasome system as well as synthetic compounds with potent inhibitory effects. Georg Thieme Verlag KG Stuttgart-New York.

[Conceptual and Cognitive Restructuring?

PubMed

Schmid, Petra; Widmann, Bernhard; Jekel, Achim; Nelles, Ulrike; Fritschi, Thomas; Uhlmann, Carmen

2016-11-01

Objective: In the treatment of patients with alcohol dependence it is next to physical detoxification under protected conditions to promoting abstinence motivation. Further the need of crisis interventions is derived from the clinical practise. To be able to become fairer to all groups of treatment as well as the different demands, the addiction admission station was restructured. Methods: Pre-post-evaluation. Results: It was found that the door was closed up significantly less often after the restructuring. In the residence time structure an increase appeared in the descriptive values with the more than 7-day stays. Conclusions: It is to be able to hold successfully the optional closed door highly significantly more often open. © Georg Thieme Verlag KG Stuttgart · New York.

[Improving Structures for Healthy and Self-Determined Ageing in an Urban District].

PubMed

Heusinger, J; Kammerer, K; Wolter, B; Schuster, M

2015-09-01

Between 2007 and 2010 the Institut für Gerontologische Forschung e.V. investigated the "Primary Prevention Effects of the Märkisches Viertel Network" in the Berlin district "Märkisches Viertel". The study integrates, amongst others, various participatory methods to investigate the health promotion effects of the volunteer Märkisches Viertel Network, an organisation that brings together different local actors working to assist and encourage older people to live independent lives. Sustained active collaboration by a heterogeneous mixture of actors in a spatially defined quarter, engagement by the local housing association, and increasing acknowledgement of and participation by older residents were identified as success factors for a change in local structures. © Georg Thieme Verlag KG Stuttgart · New York.

[International Standards of Tuberculosis Care (ISTC)--comments from the German point of view].

PubMed

Castell, S; Bauer, T; Diel, R; Hedrich, A; Magdorf, K; Rüsch-Gerdes, S; Schaberg, T; Loddenkemper, R

2012-04-01

The "International Standards for Tuberculosis Care" (ISTC) were developed by the World Health Organisation (WHO) and others to provide internationally agreed and, if possible, evidence-based standards for tuberculosis care including the care by private providers who are not part of national tuberculosis programmes or health-care systems. Hence, the ISTC primarily address resource-restrained countries with high tuberculosis prevalence. In this article, the German translation of the 21 standards from 2009 is presented - addressing diagnostic and therapeutic standards, co-infection (especially with HIV) and public-health issues. The accompanying comments show how these standards have to be modified for Germany due to the medical resources available here and country-specific characteristics respectively. © Georg Thieme Verlag KG Stuttgart · New York.

[Infliximab therapy for Crohn's disease - a practical guideline: actualised consensus of the working group for chronic inflammatory bowel diseases of the Austrian Society for Gastroenterology and Hepatology].

PubMed

Reinisch, W; Dejaco, C; Feichtenschlager, T; Haas, T; Kaser, A; Miehsler, W; Novacek, G; Petritsch, W; Platzer, R; Tilg, H; Vogelsang, H; Knoflach, P

2011-04-01

Infliximab is a monoclonal antibody against tumor necrosis factor alpha (TNF-α), which is approved for the treatment of chronic inflammatory bowel disease (IBD) such as Crohn's disease (CD), fistulating Crohn's disease (FCD), ulcerative colitis (UC), and paediatric ulcerative colitis (PUC) from 6 years onwards. Besides its therapeutic efficacy, this antibody therapy is characterised by its side effects profile, which has been addressed in a seperate consensus statement by the Working Group for chronic inflammatory bowel diseases within the Austrian Society for Gastroenterology and Hepatology. Infliximab is an effective treatment option for the above-mentioned indications; however, use of this agent requires special knowledge to assess the benefit-risk profile for each patient individually. © Georg Thieme Verlag KG Stuttgart · New York.

EFSUMB guidelines 2011: comment on emergent indications and visions.

PubMed

Dietrich, C F; Cui, X W; Barreiros, A P; Hocke, M; Ignee, A

2012-07-01

The focus of this article is the emergent and potential indications of contrast-enhanced ultrasound (CEUS). Emergent applications of CEUS techniques include extravascular and intracavitary contrast-enhanced ultrasound, quantitative assessment of microvascular circulation for tumor response assessment, and tumor characterization using dynamic contrast-enhanced ultrasound (DCE-US). Potential indications for microbubble agents include novel molecular imaging and drug and gene delivery techniques, which have been successfully tested in animal models. "Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) Non-Liver Guidelines 2011" which focus more on established applications are published in the same supplement to Ultraschall in der Medizin (European Journal of Ultrasound). © Georg Thieme Verlag KG Stuttgart · New York.

High-intensity focused ultrasound in obstetrics and gynecology: the birth of a new era of noninvasive surgery?

PubMed

Griffiths, A; terHaar, G; Rivens, I; Giussani, D; Lees, C

2012-12-01

Although ultrasound is an essential investigative modality in obstetrics and gynecology, the potential for therapeutic high-intensity focused ultrasound (HIFU) (also referred to as focused ultrasound surgery, FUS) to offer an alternative to invasive surgery is less well known. The ability of HIFU to create discrete regions of tissue necrosis only in precisely targeted positions by careful placement of the focus, without the need for any surgical intervention, has made HIFU of interest to those seeking noninvasive alternatives to conventional abdominal surgery. This article reviews the current experimental and clinical experience with HIFU in obstetrics and gynecology, and outlines potential future applications in fetal medicine and the challenges faced in their development. © Georg Thieme Verlag KG Stuttgart · New York.

Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary.

PubMed

Tringali, Andrea; Thomson, Mike; Dumonceau, Jean-Marc; Tavares, Marta; Tabbers, Merit M; Furlano, Raoul; Spaander, Manon; Hassan, Cesare; Tzvinikos, Christos; Ijsselstijn, Hanneke; Viala, Jérôme; Dall'Oglio, Luigi; Benninga, Marc; Orel, Rok; Vandenplas, Yvan; Keil, Radan; Romano, Claudio; Brownstone, Eva; Hlava, Štěpán; Gerner, Patrick; Dolak, Werner; Landi, Rosario; Huber, Wolf Dietrich; Everett, Simon; Vecsei, Andreas; Aabakken, Lars; Amil-Dias, Jorge; Zambelli, Alessandro

2017-01-01

This Executive summary of the Guideline on pediatric gastrointestinal endoscopy from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) refers to infants, children, and adolescents aged 0 - 18 years. The areas covered include: indications for diagnostic and therapeutic esophagogastroduodenoscopy and ileocolonoscopy; endoscopy for foreign body ingestion; endoscopic management of corrosive ingestion and stricture/stenosis; upper and lower gastrointestinal bleeding; endoscopic retrograde cholangiopancreatography, and endoscopic ultrasonography. Percutaneous endoscopic gastrostomy and endoscopy specific to inflammatory bowel disease (IBD) have been dealt with in other Guidelines and are therefore not mentioned in this Guideline. Training and ongoing skill maintenance will be addressed in an imminent sister publication. © Georg Thieme Verlag KG Stuttgart · New York.

Topography-Guided PRK and Crosslinking in Eyes with Keratoconus and Post-LASIK Ectasia.

PubMed

Müller, T M; Lange, A P

2017-04-01

Topography-guided photorefractive keratectomy (TG-PRK) combined with corneal collagen crosslinking (CXL) has been shown to potentially improve vision and stabilize progression in patients with keratoconus (KC). We attempted to reproduce the previously published results using a different laser platform (AMARIS 500E) in patients with KC and post-LASIK ectasia (PLE). All of the 9 included eyes showed improved topography (Kmax, Kmean, RMS HOA, vertical coma, cylinder; p < 0.05) and improved visual acuity (BCVA, UCVA; p < 0.05) after 18 months. Despite some still uncontrollable factors, the combination of TG-PRK and CXL may be a promising option to regularize and stabilize corneas with KC and PLE and improve visual acuity. Georg Thieme Verlag KG Stuttgart · New York.

Intrapleural Epinephrine Irrigation for Massive Malignant Hemothorax.

PubMed

Huang, Pei-Ming; Chou, Nai-Kuan; Lin, Tzu-Hsin; Chen, Chiung-Nien

2016-04-01

Massive malignant hemothorax (MMH) is a rare and serious complication encountered in the field of oncology and can be life threatening. It is often difficult and complex to manage. Herein, we present cases of four patients who had MMH and in whom a hemothorax was successfully stopped via continuous intrapleural irrigation with epinephrine (5-mg epinephrine/1,000-mL normal saline, infused at 100 mL/h) instead of a conventional surgical approach. Although no patient deaths were attributed to intractable bleeding, two deaths were related to multiple organ failure. Despite the limited number of cases, this method was a convenient, effective, and inexpensive alternative to open surgical or thoracoscopic drainage for MMH. Georg Thieme Verlag KG Stuttgart · New York.

[Prevention of Mental Health as Part of a Holistic Health Management].

PubMed

Toska, Marko; Behrendt, Dörte; Erzberger, Melanie

2015-07-01

Mental illnesses are increasingly common in workplace environments. But interventions that focus exclusively on reducing workplace-stressors are not enough. It takes long-term primary and secondary preventive, integrated solutions on an individual, role-based and organizational level. The promotion of resources of mental and physical health in everyday work can improve an efficient health development and thus should be fostered systematically. TPIII under psychenet starts at this need and systematically investigates two interventions (Employee Assistance Program, Blended Learning), that are intended to promote personal and job-related resources.This study contributes to the evidence base of an established prevention program which allows for broad dissemination building on existing capacities for broad dissemination. © Georg Thieme Verlag KG Stuttgart · New York.

The German Radiological Society and the Protagonists of Radiology during the Time of National Socialism--State of Research, Explanation Attempts, Desiderata and Research Prospects.

PubMed

Schmidt, M; Winzen, T; Groß, D

2015-06-01

The intention of the authors is the recognition and critical analysis of efforts to study the history of the German Radiological Society during the time of National Socialism from 1933 to 1945 with the goal of determining existing desiderata and identifying the resulting research prospects. There is a need to study concrete individual biographies of radiologists (members of the German Radiological Society, perpetrators, and victims) and their careers before and after 1945 as well as the importance of the interdisciplinarity of the discipline and the lack of institutional involvement during the "Third Reich". Moreover, the comparatively difficult starting situation of the study of the history of the German Radiological Society is discussed. © Georg Thieme Verlag KG Stuttgart · New York.

Antifungal Amide Alkaloids from the Aerial Parts of Piper flaviflorum and Piper sarmentosum.

PubMed

Shi, Yan-Ni; Liu, Fang-Fang; Jacob, Melissa R; Li, Xing-Cong; Zhu, Hong-Tao; Wang, Dong; Cheng, Rong-Rong; Yang, Chong-Ren; Xu, Min; Zhang, Ying-Jun

2017-01-01

Sixty-three amide alkaloids, including three new, piperflaviflorine A ( 1 ), piperflaviflorine B ( 2 ), and sarmentamide D ( 4 ), and two previously synthesized ones, (1 E ,3 S )-1-cinnamoyl-3- hydroxypyrrolidine ( 3 ) and N -[7'-(4'-methoxyphenyl)ethyl]-2-methoxybenzamide ( 5 ), were isolated from the aerial parts of Piper flaviflorum and Piper sarmentosum. Their structures were elucidated by detailed spectroscopic analysis and, in case of 3 , by single-crystal X-ray diffraction. Most of the isolates were tested for their antifungal and antibacterial activities. Ten amides ( 6 - 15 ) showed antifungal activity against Cryptococcus neoformans ATCC 90 113 with IC 50 values in the range between 4.7 and 20.0 µg/mL. Georg Thieme Verlag KG Stuttgart · New York.

[Upper Age Limit in Outpatient Anesthesia: Opportunities and Risks].

PubMed

Hüppe, Tobias; Kneller, Nicole; Raddatz, Alexander

2018-05-01

Ambulatory surgery in elderly patients continues to increase - avoiding hospitalization and thus postoperative cognitive dysfunction in older patients being its major objectives. An upper age limit in outpatient anesthesia does not exist to date. However, functional rather than chronological age is crucial in patient selection. In consensus discussion, baseline functional status should be evaluated regularly - defined as everyday behaviors necessary to maintain daily life and encompassing areas of physical, cognitive, and social functioning. Moreover, frailty in elderly patients can be quantified objectively and is associated with increased perioperative morbidity in ambulatory general surgery. The decision for or against outpatient anesthesia therefore remains a case-by-case decision which should be discussed within a team. Georg Thieme Verlag KG Stuttgart · New York.

[Monitoring and Modern Hemodynamic Concepts in Cardiac Anesthesia].

PubMed

Heringlake, Matthias; Schmidt, Christian; Brandt, Sebastian

2018-05-01

Patients undergoing cardiac surgery are growing older, present with more comorbidities, and are frequently scheduled for more complex and prolonged surgical procedures. Routine application of neurological as well as extended hemodynamic monitoring combined with goal-directed perioperative hemodynamic optimization, targeting optimization of systemic and cerebral oxygen balance, show promise to reduce postoperative complications and to improve mortality in this high risk population. Expert recommendations suggest to avoid synthetic colloids for fluid optimization. Additionally, pathophysiological reasoning and results from recent trials suggest to start inotropic and vasoactive therapy primarily with non-adrenergic drugs like levosimendan and vasopressin and to add classical catecholamines like dobutamine and noradrenalin only if necessary to accomplish hemodynamic goals. Georg Thieme Verlag KG Stuttgart · New York.

The Value of Circulating Biomarkers in Bicuspid Aortic Valve-Associated Aortopathy.

PubMed

Naito, Shiho; Hillebrand, Mathias; Bernhardt, Alexander Martin Justus; Jagodzinski, Annika; Conradi, Lenard; Detter, Christian; Sydow, Karsten; Reichenspurner, Hermann; Kodolitsch, Yskert von; Girdauskas, Evaldas

2018-06-01

Traditional risk stratification model of bicuspid aortic valve (BAV) aortopathy is based on measurement of maximal cross-sectional aortic diameter, definition of proximal aortic shape, and aortic stiffness/elasticity parameters. However, conventional imaging-based criteria are unable to provide reliable information regarding the risk stratification in BAV aortopathy, especially considering the heterogeneous nature of BAV disease. Given those limitations of conventional imaging, there is a growing clinical interest to use circulating biomarkers in the screening process for thoracic aortic aneurysms as well as in the risk-assessment algorithms. We aimed to systematically review currently available biomarkers, which may be of value to predict the natural evolution of aortopathy in individuals with BAV. Georg Thieme Verlag KG Stuttgart · New York.

[Tularemia in Germany].

PubMed

Kohlmann, R; Geis, G; Gatermann, S G

2014-07-01

The bacterium Francisella tularensis is known for more than 100 years by now as the etiological agent of the disease tularemia, a zoonotic infection with a worldwide distribution in the Northern Hemisphere. The prevalence of tularemia shows a wide geographic variation, being comparably infrequent in Germany. Tularemia can present itself with multiple clinical manifestations including ulceroglandular, glandular, oropharyngeal, oculoglandular, respiratory and typhoidal forms. Due to the low prevalence and the unspecific symptomatology, a rapid diagnosis and early start of an effective therapy are rarely obtained. Thus, in this article we summarize important aspects concerning etiology, ecology and routes of transmission, recent epidemiologic situation, clinical picture, diagnostics and treatment of tularemia, focusing on the situation in Germany. © Georg Thieme Verlag KG Stuttgart · New York.

Morning glory resin glycosides as modulators of antibiotic activity in multidrug-resistant gram-negative bacteria.

PubMed

Corona-Castañeda, Berenice; Pereda-Miranda, Rogelio

2012-01-01

Twenty-six microbiologically inactive (MIC > 512 µg/mL) convolvulaceous resin glycosides ( 1- 26) were tested for resistance modulatory activity in vitro against Escherichia coli Rosetta-gami and two nosocomial pathogens, Salmonella typhi and Shigella flexneri. These compounds exerted a potentiation effect of the clinically useful antibiotics tetracycline, kanamycin, and chloramphenicol against the tested gram-negative bacteria by increasing antibiotic susceptibility up to 32-fold at concentrations of 25 µg/mL. Therefore, the oligosaccharides from the morning glory family (Convolvulaceae) represent metabolites that reverse microbial resistance mechanisms, favoring an increase in the strength and effectiveness of current antibiotics that are not effective in the treatment of refractive infections caused by multidrug-resistant strains. © Georg Thieme Verlag KG Stuttgart · New York.

[Retention management by means of applied human resource development: lessons from cardiovascular anaesthesiology].

PubMed

Padosch, Stephan A; Schmidt, Christian E; Spöhr, Fabian A M

2011-05-01

At present, besides well-known financial problems, German hospitals are facing a serious lack of qualified medical staff. Given these facts, it is of great importance, especially in work load burdened disciplines, such as cardiovascular anaesthesiology, to retain highly qualified medical staff. Here, human resource development measures offer valuable tools for efficient retention management. Moreover, most of these are applicable to almost any clinical specialty. Surprisingly, financial aspects play a minor role in such concepts, in contrast to human resource development tools, such as mentoring, interviews, training and motivational activities. Especially, with regard to "Generation Y", an efficient retention management will play a key role to keep these physicians as hospital employees of long duration in the future. © Georg Thieme Verlag Stuttgart · New York.

[Dialysis and ultrafiltration therapy in patients with cardio-renal syndrome: recommendations of the working group "heart-kidney" of the German Cardiac Society and the German Society of Nephrology].

PubMed

Schwenger, V; Remppis, B A; Westenfeld, R; Weinreich, T; Brunkhorst, R; Schieren, G; Krumme, B; Haller, H; Schmieder, R; Schlieper, G; Frye, B; Hoppe, U C; Hoyer, J; Keller, T; Blumenstein, M; Schunkert, H; Mahfoud, F; Rump, L C

2014-02-01

Renal failure is common in patients with severe heart failure. This complex pathophysiological interaction has been classified as cardio-renal syndrome. In these patients hydropic decompensation is the main cause of hospitalization. In patients with refractory heart failure, characterized by diuretic resistance and congestion due to volume overload, ultrafiltration has to be considered. In acute decompensated heart failure with worsening of renal function, extracorporeal ultrafiltration is the preferred treatment modality. On the other hand, patients suffering from chronic decompensated heart failure, particularly patients with ascites, will profit from the treatment specific advantages of peritoneal ultrafiltration. Prerequisite for an optimized care of patients with cardio-renal syndrome is the close collaboration among intensive care doctors, cardiologists and nephrologists. © Georg Thieme Verlag KG Stuttgart · New York.

[Cruciate ligament injuries under gender aspects].

PubMed

Grabau, D E; Vitzthum, K; Mache, S; Groneberg, D A; Quarcoo, D

2011-12-01

An injury of cruciate ligament is one the most common knee injuries. This accident happens mostly without external impact and towards the end of training and competition sessions. Women, especially athletes playing team sports ball games such as soccer or disciplines such as tennis, are affected 2 to 8 times more often than men. Anatomic, biomechanical and endocrinological differences are currently discussed as potential risk factors. In terms of prevention, biomechanical impact is of greatest importance given its influenceability through various training opportunities. Training programs including endurance aspects, strengthening knee musculature, balance as well as plyometric trainings were most effective. Further studies should focus more on concomitants of course of injuries. © Georg Thieme Verlag KG Stuttgart · New York.

[Medicolegal Assessment for Chronic Musculoskeletal Pain - 4th Update of the German Guideline for Medicolegal Assessment of Persons in Chronic Pain].

PubMed

Schiltenwolf, Marcus

2018-03-09

Medicolegal assessments of claimants with chronic muskuloskeletal pain conditions are frequent. The first German guideline published in 2005 for the medicolegal assessment of claimants in chronic pain is now available in its 4th version (AWMF register number 094 - 003). It gives recommendations for the procedure and serves to ensure the quality of expert opinions when complaints about chronic pain are the leading symptom. In the current version, the indications for ordering medical assessments in pain syndromes have been reformulated, the assessment criteria have been adapted to ICF specifications, and an unequivocal distinction has been introduced between questions of state and causal assessment. A separate chapter on symptom validity assessment has been engrafted. Georg Thieme Verlag KG Stuttgart · New York.

[The new law on strengthening the rights of victims of sexual abuse and its implications for the forensic-psychiatric assessment of sexual offenders].

PubMed

Bumb, Jan Malte; Foerster, Klaus; Dressing, Harald

2014-07-01

Highlighting practical implications and research aspects of forensic-psychiatric assessments in the context of the new law on strengthening the rights of victims of sexual abuse. Based on a clinical case we report implications for the forensic-psychiatric assessment. The new law now requires an expert to evaluate the necessity and the subject's motivation to receive a given treatment. Up to now, the majority of sexual offenders were assumed to be responsible for their actions and in most cases a forensic-psychiatric assessment was not required. For this reason, guidelines for forensic-psychiatric assessments are urgently needed. The number of forensic-psychiatric assessments is likely to increase substantially and a relevant-case law is still lacking. © Georg Thieme Verlag KG Stuttgart · New York.

[Sleep disturbances and suicidality: relationships and clinical implications].

PubMed

Norra, C; Richter, N

2013-10-01

Besides several risk factors for suicide, there is a recent increase in clinical and epidemiological studies pointing to a potential relationship between sleep loss or sleep disturbances and suicidality. This work, based on a systematic literature research, gives an overview on the findings of relationships between suicidality (i. e., suicidal thoughts, suicide attempts, suicides) and sleep disturbances, especially insomnia, nightmares, but also hypersomnia and nocturnal panic attacks. There is evidence that sleep disturbances in suicidal insomniacs with comorbid psychiatric disorder are independently predictive for suicidality, too. Shared aspects of pathogenesis of the two entities and therapeutic options are also discussed. Recognition of sleep disturbances is essential for suicide prevention in clinical practice. © Georg Thieme Verlag KG Stuttgart · New York.

[Instruments of management accounting in german hospitals - potentials for competitive advantage and status quo].

PubMed

Berens, W; Lachmann, M; Wömpener, A

2011-03-01

The aim of this study is to provide an analysis of the status quo for the usage of instruments of management accounting in German hospitals. 600 managing directors of German hospitals were asked to answer a questionnaire about the usage of management accounting instruments in their hospitals. We obtained 121 usable datasets, which are evaluated in this study. A significant increase in the usage of management accounting instruments can be observed over time. The respondents have an overall positive perception of the usage of these instruments. Cost accounting and information systems are among the most widely used instruments, while widely discussed concepts like the balanced scorecard or clinical pathways show surprisingly low usage rates. © Georg Thieme Verlag KG Stuttgart · New York.

[Evaluation of Contextual Factors in Psychosomatic Rehabilitation].

PubMed

Bülau, N I; Kessemeier, F; Petermann, F; Bassler, M; Kobelt, A

2016-12-01

Objectives: Although individualized and ICF-oriented implementation of rehabilitation treatment requires knowledge of relevant contextual factors, there is a lack of operationalized documentation and measurement tools to evaluate these factors. Therefore, an ICF-oriented semi-structured interview was designed. Methods: 20 contextual factors were externally assessed whether they negatively affected mental functioning and participation of psychosomatic patients. Additionally, psychometric scales were applied. Results: Six relevant impairing contextual factors were identified. Contextual factors significantly correlated with psychometric scales. Patients with higher contextual impairment showed significantly higher psychological stress levels. Conclusions: Anamnesis of contextual factors at the beginning of psychosomatic rehabilitation yields important information for therapy planning. Further research on contextual factors in medical rehabilitation is needed. © Georg Thieme Verlag KG Stuttgart · New York.

[Advance Directives - Not a Lot of Margin for Error - The Surgeon's View of a Complex Medical-Legal Topic].

PubMed

Slotta, J E; Schilling, M K; Ghadimi, M; Kollmar, O

2015-08-01

Since September 1st, 2009, the most recent version of the German "Betreuungsrechtsänderungsgesetz" has been validated by the legislators. It precisely sets out how physicians and nursing staff have to deal with a written declaration of a patient's will. This new law focuses in a special way on advance directives, describes the precise rules for the authors of an advance directive and shows both its sphere of action and its limitations. This article aims to give an overview on the legal scope of advance directives, and to illustrate potential limitations and conflicts. Furthermore, it shows the commitments and rights of the medical team against the background of an existing advance directive. Georg Thieme Verlag KG Stuttgart · New York.

[Disaster Control and Civil Protection in Germany].

PubMed

Kippnich, Maximilian; Kowalzik, Barbara; Cermak, Rudolf; Kippnich, Uwe; Kranke, Peter; Wurmb, Thomas

2017-09-01

The train crash of Bad Aibling/Germany in February 2016 and the terrorist attacks of the recent years in Europe have demonstrated the urgent need to be prepared for such disastrous events. Disaster preparedness and disaster control are very important governmental duties, as are civil protection and civil defense. In Germany the responsibility for those tasks are divided between the 16 "Länder" and the Federation. While the Federation takes care of the civil protection and disaster assistance, the Länder are responsible for disaster control. The presented article focuses on these issues and gives valuable insights into the German system of disaster control and civil protection with a focus on health protection. Georg Thieme Verlag KG Stuttgart · New York.

[Chronic Pancreatitis and Pancreatic Cancer - Tumor Risk and Screening].

PubMed

Beyer, Georg; D'Haese, Jan G; Ormanns, Steffen; Mayerle, Julia

2018-06-01

Chronic pancreatitis is a fibroinflammatory syndrome of the exocrine pancreas, which is characterized by an increasing incidence, high morbidity and lethality. Common etiologies besides alcohol and nicotine consumption include genetic causes and risk factors. The life time risk for the development of pancreatic cancer is elevated 13- to 45-fold depending on the underlying etiology. In patients with chronic pancreatitis clinical, laboratory and imaging surveillance for early detection of complications, including pancreatic cancer, is recommended, although the available methods lack the desired sensitivity and specificity. In this article we review the epidemiology, etiologies and risk factors for chronic pancreatitis and pancreatic cancer and discuss current recommendations for screening and management of patients at risk for tumor development. © Georg Thieme Verlag KG Stuttgart · New York.

Antioxidant neolignans from Cordia americana.

PubMed

Fernández, Lucía R; Cirigliano, Adriana; Fabani, María P; Lima, Beatriz; Alberti, Sebastián; Kramer, Fernando; Tapia, Alejandro A; Cabrera, Gabriela; Palermo, Jorge A; Sánchez, Marianela

2013-12-01

Five new neolignans with a bicyclo[2.2.2]octene framework were isolated from an ethanolic extract of the bark of Cordia americana. The structures and relative configurations of the compounds were elucidated by a combination of spectroscopic methods. All the isolated compounds showed good antioxidant activities in the DPPH radical scavenging (0.5-100 µg/mL) and Ferric-reducing antioxidant power (FRAP, 1-100 µg/mL) assays. One of the compounds displayed mild fungistatic activity at 0.1 µmol/spot against Fusarium virguliforme while, at the same time, all compounds were inactive against several strains of Gram (+) and Gram (-) bacteria at all assayed concentrations (10-1,000 µg/mL). Georg Thieme Verlag KG Stuttgart · New York.

[Pharmacogenomics in routine medical care].

PubMed

Rosskopf, D; Meyer zu Schwabedissen, H E; Kroemer, H K; Siegmund, W

2010-01-01

Pharmacogenomics investigates inherited differences in drug responses including beneficial and adverse reactions. While a considerable amount of evidence for genetic influences on drug responses has been accumulated within the last decade, predominantly in small studies, its value in routine therapy is still a matter of debate. The aim of this review is to discuss well established examples where pharmacogenomic techniques can improve routine treatment. Examples include genotyping of CYP2D6 in the context of antidepressant therapy, analysis of TPMT variants for the prediction of mercaptopurine-induced bone marrow depression, VKORC1 and CYP2C9 analyses for a better control of anticoagulant administration and the SLCO1B1 variant in the context of statin-induced myopathies. Georg Thieme Verlag KG Stuttgart.New York.

[Philosophy of human dignity and the ethics of psychiatry].

PubMed

Stoecker, Ralf

2014-07-01

Current moral philosophy has serious problems with the concept of human dignity. Although it seems to be an almost inevitable ingredient of every day moral judgments, philosophers have difficulties to find an analysis of the concept that could support this central role. One way out of these difficulties consists in a closer look at the various areas where the concept is used so widely and naturally, in the attempt to extract inductively an adequate understanding of human dignity from these contexts. In the article, this strategy is used to glean features of human dignity from the history of psychiatry, condense them into a plausible understanding of human dignity and finally sketch some practical implications for modern psychiatric ethics. © Georg Thieme Verlag KG Stuttgart · New York.

[Part-time concepts in anaesthesia -example of a department of anaesthesiology at a university hospital in Germany].

PubMed

Höltje, Maike; Osthaus, W Alexander; Koppert, Wolfgang

2015-05-01

Part-time work concepts are requested for different reasons from an increasing number of employees. Despite this fact there are no systematic part-time work concepts published in the German literature, especially for physicians working in hospitals. This article describes background and circumstances of a part-time work concept which was established two years ago in a department of anaesthesiology at a university hospital in Germany. This concept considers needs of young families as well as older employees. We are convinced that a transparent part-time work concept is a good argument for job-seeking physicians when deciding for an employer. The benefit for the already employed colleagues has at least the same value. © Georg Thieme Verlag Stuttgart · New York.

Graft-Sparing Strategy for Thoracic Prosthetic Graft Infection.

PubMed

Uchino, Gaku; Yoshida, Takeshi; Kakii, Bunpachi; Furui, Masato

2018-04-01

 Thoracic prosthetic graft infection is a rare but serious complication with no standard management. We reported our surgical experience on graft-sparing strategy for thoracic prosthetic graft infection.  This study included patients who underwent graft-sparing surgery for thoracic prosthetic graft infection at Matsubara Tokushukai Hospital in Japan from January 2000 to October 2017.  There were 17 patients included in the analyses, with a mean age at surgery of 71.0 ± 10.5 years; 11 were men. In-hospital mortality was observed in five patients (29.4%).  Graft-sparing surgery for thoracic prosthetic graft infection is an alternative option particularly for early graft infection after hemiarch replacement. Georg Thieme Verlag KG Stuttgart · New York.

[Big Data and Public Health - Results of the Working Group 1 of the Forum Future Public Health, Berlin 2016].

PubMed

Moebus, Susanne; Kuhn, Joseph; Hoffmann, Wolfgang

2017-11-01

Big Data is a diffuse term, which can be described as an approach to linking gigantic and often unstructured data sets. Big Data is used in many corporate areas. For Public Health (PH), however, Big Data is not a well-developed topic. In this article, Big Data is explained according to the intention of use, information efficiency, prediction and clustering. Using the example of application in science, patient care, equal opportunities and smart cities, typical challenges and open questions of Big Data for PH are outlined. In addition to the inevitable use of Big Data, networking is necessary, especially with knowledge-carriers and decision-makers from politics and health care practice. © Georg Thieme Verlag KG Stuttgart · New York.

Noble gas cluster ions

NASA Astrophysics Data System (ADS)

Kaya, Yunus; Kalkan, Yalçin; Veenhof, Rob

2018-02-01

In this work, a reaction mechanism of formation of noble gas (Ng) cluster ions has been theoretically investigated in detail. The kinetic studies of formation of Xe+Xe cluster in Xe, Ar+Ar cluster ions in Ar, and Ne+Ne cluster ions in Ne have been made as theoretically. The optimized structures in the ground state were calculated using the density functional theory (DFT) by the B3LYP method combined with the Stuttgart/Dresden effective core potential basis set (SDD). In addition, we calculated the rate constants of all cluster formations. The results are 1.15 × 10-31, 3.58 × 10-31, 0.23 × 10-31cm6/s, respectively for Neon, Argon, Xenon cluster ions.

[Patient satisfaction in oncological aftercare--differential results of gender aspects in doctor-patient dyads].

PubMed

Weißflog, G; Ernst, J; Szkoda, A; Berger, S; Stuhr, C; Herschbach, P; Book, K; Brähler, E

2014-05-01

The aim of this study was to explore the role of gender of the physician and gender of the patient in explaining differences in patient satisfaction. Overall, 1,130 patients were assigned to one of 4 possible physician-patient sex dyads and were interviewed with a questionnaire about their patient satisfaction. Female patients in a dyad with a female physician were most satisfied with the overall judgment of practice visit and the inclusion of life situation in comparison to all other dyads. Male patients in a dyad with a male physician were least satisfied. In the future, the specific role of patient-physician dyads has to be considered more in the assessment of subdimensions of patient satisfaction. © Georg Thieme Verlag KG Stuttgart · New York.

Shapes and binary fractions of Jovian Trojans and Hildas through NEOWISE

NASA Astrophysics Data System (ADS)

Sonnett, S.; Mainzer, A.; Grav, T.; Bauer, J.; Masiero, J.; Stevenson, R.; Nugent, C.

2014-07-01

Jovian Trojans (hereafter, Trojans) and Hildas are indicative of planetary migration patterns since their capture and physical state must be explained by dynamical evolution models. Early models of minimal planetary migration necessitate that Trojans were dynamically captured from the giant planet region (e.g., Marzari & Scholl 1998). The Nice model instead suggests that Trojans were injected from the outer solar system during a period of significant giant planet migration (e.g., Morbidelli et al. 2005). A more recent version of the Nice model suggests that asymmetric scatterings and collisions would have taken place, producing dissimilar L4 and L5 clouds (Nesvorny et al. 2013). Each of these formation scenarios predicts a different origin and/or collisional evolution for Trojans, which can be inferred from rotation properties. Namely, the physical shape as a function of size helps determine the degree of collisional processing (Farinella et al. 1992). Also, the binary fraction as a function of separation between the two components can be used to determine the dominant binary formation mechanism and thus helps characterize the dynamical environment (e.g., Kern & Elliot 2006). Rotational variation usually corresponds to elongated shapes, but high amplitudes (> 0.9 magnitudes; Sheppard & Jewitt 2004) can only be explained by close or contact binaries. Therefore, rotational lightcurves can be used to infer both shape and the presence of a close companion. Motivated by the need for more observational constraints on solar system formation models and a poor understanding of the rotation properties and binary fraction of Trojans and Hildas, we are studying their rotational lightcurve amplitudes using infrared photometry from NEOWISE (Mainzer et al. 2011; Grav et al. 2011) in order to determine debiased rotational lightcurve amplitude distributions for various Trojan subpopulations and for Trojans compared to Hildas. Preliminary amplitude distributions show a large

Program and abstracts of the Second Tsunami Source Workshop; July 19-20, 2010

USGS Publications Warehouse

Lee, W.H.K.; Kirby, S.H.; Diggles, M.F.

2010-01-01

In response to a request by the National Oceanic and Atmospheric Administration (NOAA) for computing tsunami propagations in the western Pacific, Eric Geist asked Willie Lee for assistance in providing parameters of earthquakes which may be future tsunami sources. The U.S. Geological Survey (USGS) Tsunami Source Working Group (TSWG) was initiated in August 2005. An ad hoc group of diverse expertise was formed, with Steve Kirby as the leader. The founding members are: Rick Blakely, Eric Geist, Steve Kirby, Willie Lee, George Plafker, Dave Scholl, Roland von Huene, and Ray Wells. Half of the founding members are USGS emeritus scientists. A report was quickly completed because of NOAA's urgent need to precalculate tsunami propagation paths for early warning purposes. It was clear to the group that much more work needed to be done to improve our knowledge about tsunami sources worldwide. The group therefore started an informal research program on tsunami sources and meets irregularly to share ideas, data, and results. Because our group activities are open to anyone, we have more participants now, including, for example, Harley Benz and George Choy (USGS, Golden, Colo.), Holly Ryan and Stephanie Ross (USGS, Menlo Park, Calif.), Hiroo Kanamori (Caltech), Emile Okal (Northwestern University), and Gerard Fryer and Barry Hirshorn (Pacific Tsunami Warning Center, Hawaii). To celebrate the fifth anniversary of the TSWG, a workshop is being held in the Auditorium of Building 3, USGS, Menlo Park, on July 19-20, 2010 (Willie Lee and Steve Kirby, Conveners). All talks (except one) will be video broadcast. The first tsunami source workshop was held in April 2006 with about 100 participants from many institutions. This second workshop (on a much smaller scale) will be devoted primarily to recent work by the USGS members. In addition, Hiroo Kanamori (Caltech) will present his recent work on the 1960 and 2010 Chile earthquakes, Barry Hirshorn and Stuart Weinstein (Pacific Tsunami

No Evidence of Narrowly Defined Cognitive Penetrability in Unambiguous Vision

PubMed Central

Lammers, Nikki A.; de Haan, Edward H.; Pinto, Yair

2017-01-01

The classical notion of cognitive impenetrability suggests that perceptual processing is an automatic modular system and not under conscious control. Near consensus is now emerging that this classical notion is untenable. However, as recently pointed out by Firestone and Scholl, this consensus is built on quicksand. In most studies claiming perception is cognitively penetrable, it remains unclear which actual process has been affected (perception, memory, imagery, input selection or judgment). In fact, the only available “proofs” for cognitive penetrability are proxies for perception, such as behavioral responses and neural correlates. We suggest that one can interpret cognitive penetrability in two different ways, a broad sense and a narrow sense. In the broad sense, attention and memory are not considered as “just” pre- and post-perceptual systems but as part of the mechanisms by which top-down processes influence the actual percept. Although many studies have proven top-down influences in this broader sense, it is still debatable whether cognitive penetrability remains tenable in a narrow sense. The narrow sense states that cognitive penetrability only occurs when top-down factors are flexible and cause a clear illusion from a first person perspective. So far, there is no strong evidence from a first person perspective that visual illusions can indeed be driven by high-level flexible factors. One cannot be cognitively trained to see and unsee visual illusions. We argue that this lack of convincing proof for cognitive penetrability in the narrow sense can be explained by the fact that most research focuses on foveal vision only. This type of perception may be too unambiguous for transient high-level factors to control perception. Therefore, illusions in more ambiguous perception, such as peripheral vision, can offer a unique insight into the matter. They produce a clear subjective percept based on unclear, degraded visual input: the optimal basis to study

Person-centred rehabilitation: what exactly does it mean? Protocol for a scoping review with thematic analysis towards framing the concept and practice of person-centred rehabilitation.

PubMed

Jesus, Tiago S; Bright, Felicity; Kayes, Nicola; Cott, Cheryl A

2016-07-19

Person-centredness is a philosophy for organising and delivering healthcare based on patients' needs, preferences and experiences. Although widely endorsed, the concept suffers from a lack of detail and clarification, in turn accounting for ambiguous implementation and outcomes. While a conceptual framework based on a systematic review defines person/patient-centred care components (Scholl et al, 2014), it applies across healthcare contexts and may not be sensitive to the nuances of the rehabilitation of adults with physical impairments. Accordingly, this study aims to build a conceptual framework, based on existing literature, of what person-centredness means in the rehabilitation of adults with physical impairments in the clinical encounter and broader health service delivery. We will use a scoping review methodology. Searches on relevant databases will be conducted first, combining keywords for 'rehabilitation', 'person-centered' and associated terms (including patient preferences/experiences). Next, snowball searches (citation tracking, references lists) will be performed. Papers will be included if they fall within predefined selection categories (seen as most likely informative on elements pertaining to person-centred rehabilitation) and are written in English, regardless of design (conceptual, qualitative, quantitative). Two reviewers will independently screen titles and abstracts, followed by screening of the full text to determine inclusion. Experts will then be consulted to identify relevant missing papers. This can include elements other than the peer-reviewed literature (eg, book chapters, policy/legal papers). Finally, information that helps to build the concept and practice of person-centred rehabilitation will be abstracted independently by two reviewers and analysed by inductive thematic analysis to build the conceptual framework. The resulting framework will aid clarification regarding person-centred rehabilitation, which in turn is expected to

Person-centred rehabilitation: what exactly does it mean? Protocol for a scoping review with thematic analysis towards framing the concept and practice of person-centred rehabilitation

PubMed Central

Bright, Felicity; Kayes, Nicola; Cott, Cheryl A

2016-01-01

Introduction Person-centredness is a philosophy for organising and delivering healthcare based on patients’ needs, preferences and experiences. Although widely endorsed, the concept suffers from a lack of detail and clarification, in turn accounting for ambiguous implementation and outcomes. While a conceptual framework based on a systematic review defines person/patient-centred care components (Scholl et al, 2014), it applies across healthcare contexts and may not be sensitive to the nuances of the rehabilitation of adults with physical impairments. Accordingly, this study aims to build a conceptual framework, based on existing literature, of what person-centredness means in the rehabilitation of adults with physical impairments in the clinical encounter and broader health service delivery. Methods and analysis We will use a scoping review methodology. Searches on relevant databases will be conducted first, combining keywords for ‘rehabilitation’, ‘person-centered’ and associated terms (including patient preferences/experiences). Next, snowball searches (citation tracking, references lists) will be performed. Papers will be included if they fall within predefined selection categories (seen as most likely informative on elements pertaining to person-centred rehabilitation) and are written in English, regardless of design (conceptual, qualitative, quantitative). Two reviewers will independently screen titles and abstracts, followed by screening of the full text to determine inclusion. Experts will then be consulted to identify relevant missing papers. This can include elements other than the peer-reviewed literature (eg, book chapters, policy/legal papers). Finally, information that helps to build the concept and practice of person-centred rehabilitation will be abstracted independently by two reviewers and analysed by inductive thematic analysis to build the conceptual framework. Dissemination The resulting framework will aid clarification regarding

Population control of Martian Trojans by the Yarkovsky & YORP effects

NASA Astrophysics Data System (ADS)

Christou, Apostolos; Borisov, Galin; Jacobson, Seth A.; Colas, Francois; dell'Oro, Aldo; Cellino, Alberto; Bagnulo, Stefano

2017-10-01

Mars is the only terrestrial planet supporting a stable population of Trojan asteroids. One, (5261) Eureka, has a family of smaller asteroids of similar composition (Borisov et al, 2017; Polishook et al, 2017) that likely separated from Eureka within the last 1 Gyr (Ćuk et al, 2015). Two other Trojans, (101429) 1998 VF31 and (121514) 1999 UJ7, of similar size and on similar orbits to Eureka, are not associated with families of asteroids, begging the question of what makes Eureka special.The Yarkovsky-O'Keefe-Radzievskii-Paddack (YORP) effect may have formed the Eureka family (Christou, 2013; Ćuk et al, 2015) by the spinning off of ``YORPlets’’, a mechanism also responsible for close orbital pairs of small Main Belt asteroids (Pravec et al, 2010). Eureka’s fast rotation rate (P=2.69 hr; Koehn et al, 2014), right at the so-called ``spin barrier’’ (Warner et al, 2009), apparently supports this.We obtained photometry of 101429 and 121514 to find out their rotation periods. We find an unusually long, ˜50 hr period for 121514; the asteroid may be in a ``tumbling’’ rotational state that inhibits YOPRlet production. On the other hand, the faster (P=7.7 hr) rotation we obtain for 101429 does not preclude it from having been spun up to the rotational fission limit during the most recent 10s of Myr.Instead, 101429’s location near a secular resonance (Scholl et al, 2005) may lead to rapid loss of any YORPlet asteroids. Indeed, test particles started at 101429’s orbit and evolving under the Yarkovsky effect escape within a few hundred Myr, several times faster than particles started near Eureka. We conclude that the stability enjoyed by asteroids in Eureka’s orbital vicinity, combined with the ability to readily populate that vicinity with new asteroids, are likely responsible for Eureka’s status as the only Martian Trojan with a family.

New evidence for the Hawaiian hotspot plume motion since the Eocene

NASA Astrophysics Data System (ADS)

Parés, Josep M.; Moore, Ted C.

2005-09-01

A thick mound of fossiliferous sediments, reflecting high biogenic productivity at the Equator can be used to determine latitudinal motion of the Pacific lithospheric plate. Plate motion estimates based on the latitudinal movement of Equatorial facies are independent of paleomagnetic data and hotspot tracks and thus permit further testing of kinematic models. We have determined the northward motion of the Pacific Plate for the last 53 Myr based on the position of the paleoequator as shown by Equatorial sediment facies. Between 26 and 69 DSDP and ODP Sites sample the past 53 Myr in the tropical Pacific. Based on the mapped patterns of accumulation rates in these sites, we were able not only to determine the position of the paleoequator but also to estimate the Equatorial great circle and hence the relative position of the spin axis since the early Eocene. The northward motion of the Pacific Plate inferred from the change in latitude of dated Hawaiian Chain seamounts relative to the Hawaiian hotspot is consistently higher than that deduced from the analyses of Equatorial sediment facies. Such a difference results from a latitudinal shift of the Hawaiian hotspot during the last 53 Myr. All together, our observations and recent paleomagnetic results from the Detroit, Nintoku and Koko seamounts [J.A. Tarduno, R.A. Duncan, D.W. Scholl, R.D. Cottrell, B., Steinberger, T. Thordarson, B.C. Kerr, C.R. Neal, F.A. Frey, M. Torii, M., C. Carvallo. The Emperor Seamounts: Southward motion of the Hawaiian hotspot plume in Earth's mantle. Science 301 (2003) 1064-1069.] [1] are consistent with a progressive southward motion of the Hawaiian mantle plume since the Late Cretaceous. Our results suggest that the Hawaiian hotspot moved at ˜32 mm/yr to the SE during the past 43 million years and that the Pacific Plate moved ˜12° northward since 53 Ma at an average rate of 25 mm/yr.

The Field-Laboratory for CO2 Storage 'CO2SINK

NASA Astrophysics Data System (ADS)

Würdemann, Hilke; Möller, Fabian; Kühn, Michael; Borm, Günter; Schilling, Frank R.

2010-05-01

The first European onshore geological CO2 storage project in a saline aquifer CO2SINK is designed as a field size experiment to better understand in situ storage processes and to test various monitoring techniques. This EU project is run by 18 partners from universities, research institutes and industry out of 9 European countries (www.co2sink.org). The CO2 is injected into Upper Triassic sandstones (Stuttgart Formation) of a double-anticline at a depth of 650 m. The Stuttgart Formation represents a flu vial environment comprised of sandstone channels and silty to muddy deposits. The anticline forms a classical multibarrier system: The first caprock is a playa type mudstone of the Weser and Arnstadt formations directly overlying the Stuttgart formation. Laboratory tests revealed permeabilities in a µDarcy-range. The second main caprock is a tertiary clay, the so-called Rupelton. To determine the maximum injection pressure modified leak-off tests (without fracturing the caprock) were performed resulting in values around 120 bar. Due to safety standards the pressure threshold is set to 82 bar until more experience on the reservoir behaviour is available. The sealing property of the secondary cap rock is well known from decades of natural gas storage operations at the testing site and was the basis for the permission to operate the CO2 storage by the mining authority. Undisturbed, initial reservoir conditions are 35 °C and 62 bar. The initial reservoir fluid is highly saline with about 235 g/l total dissolved solids primarily composed of sodium chloride with notable amounts of calcium chloride. The initial pH value is 6.6. Hydraulic tests as well as laboratory tests revealed a permeability between 50 and 100 mDarcy for the sand channels of the storage formation. Within twenty months of storage operation, about 30,000 t of CO2 have been injected. Spreading of the CO2 plume is monitored by a broad range of geophysical techniques. The injection well and the two

Optimized testing schemes using nucleus progeny, adult MOET siblings, or juvenile MOET pedigrees in dairy cattle closed populations.

PubMed

Bondoc, O L; Smith, C

1993-01-12

Selection response rates are predicted for nucleus progeny testing, adult multiple ovulation and embryo transfer (MOET) sib testing, and juvenile MOET pedigree testing in closed populations. Deterministic models are adapted to adjust predicted genetic gains for the effects of population size and structure, selection disequilibrium, sampling losses, and inbreeding depression. The improvement schemes were optimized for different numbers of sires used and first lactation females recorded per year. The number of nucleus daughters tested per sire, and of females per MOET full sibship, that maximize the predicted response to selection per year, were determined. Annual genetic gains and inbreeding rates were interpolated to the same planning horizon (20 years) to compare the optimized schemes for a wide range of situations. The predicted maximum genetic gain per year is higher for adult MOET than for juvenile MOET (due to the proportional extra time to collect the embryos needed) and for nucleus progeny testing. Average annual inbreeding rates are much higher for MOET schemes than for nucleus progeny testing. The advantages of adult and juvenile over nucleus progeny testing are little affected by planning horizon, but are higher with more females recorded per year, higher heritability, and higher reproductive and MOET success rates. Comparison of the schemes at the same level of inbreeding is fairer for fixed testing resources. At the same inbreeding level, the genetic advantage of adult MOET was generally maintained, but juvenile MOET then lost its advantage over progeny testing in these closed populations. ZUSAMMENFASSUNG: Optimierte Prüfpläne für Nukleusnachkommen, adulte MOET Geschwister oder juvenile MOET Pedigrees in geschlossenen Milchviehpopulationen Selektionserfolge werden für Nukleusnachkommenprüfung, adulte multiple Ovulation (MOET) und Embryotransfer, Geschwisterprüfung und juvenile MOET Pedigreeprüfung geschlossener Populationen gesch

[Witch hunt and hypotheses loss].

PubMed

Köhler, Dieter

2015-12-01

At this time randomized controlled studies (RCT) in clinical trials usually have high quality. But this quality is only true for the included patients (intrinsic validity). It is common to generalize the results to more or less similar patients. This inductive method is prohibited in epistemology what is known for 250 years (D Hume, K R Popper). Therefore the external validity for the data of RCT is low. To solve this problem additional clinical and pathophysiological based data are necessary to generalize the results. Unfortunately RCT show less quality in their premises. This is partly due to the influence of the pharmaceutical industry. A loss of universality of the hypothesis for RCT decreases basically the extrinsic validity. The articles describe this problem with examples. © Georg Thieme Verlag KG Stuttgart · New York.

[Christmas from an allergist's perspective].

PubMed

Wedi, Bettina

2016-12-01

The customs and traditions associated with Christmas may result in allergic reactions to allergens that are typical for this period. On the one hand the rise in prevalence of allergic diseases has continued in the industrialized world for the last decades and allergies are regarded as widespread diseases. On the other hand the 21th century is a time of "allergy delusion". This review summarizes the facts about allergic reactions to Christmas typical decoration, food and behavior. Taken together, allergic reactions to Christmas tree, poinsettia, Christmas cactus, perfumed candles, Christmas typical food, common gifts like mobile phones and laptops, frankincense, myrrh and pollens have been described but in very rare instances. The chance to survive Christmas without allergic symptoms is high, particularly for non-atopics. © Georg Thieme Verlag KG Stuttgart · New York.

[A Longitudinal Study on Labour Market Transitions and Sustainability of Employment After Further Training Measures in the Context of Vocational Rehabilitation].

PubMed

Reims, Nancy; Tophoven, Silke

2018-06-01

The study examines employment prospects of persons who participate in further and re-training measures in the context of vocational rehabilitation in the responsibility of the Federal Employment Agency (FEA). Using administrative data of the FEA (RehaPro), we focus on persons completing vocational rehabilitation between 2009 and 2012 (N=21,772). We employ event history analysis to present time and extent of employment transition and their sustainability. By using multivariate analyses, factors for taking up employment are identified. Within 500 days, 70 % of promoted persons gain contributed employment, often directly after rehabilitation. The median for employment duration within the observation period is 670 days. Further training measures are an important opportunity for the re-integration of persons with health limitations in the labour market. © Georg Thieme Verlag KG Stuttgart · New York.

[Multilevel Analysis in Health Services Research in Healthcare Organizations: Benefits, Requirements and Implementation].

PubMed

Ansmann, L; Kuhr, K; Kowalski, C

2017-03-01

Multilevel Analysis (MLA) are still rarely used in Health Services Research in Germany, though hierarchical data, e. g. from patients clustered in hospitals, is often present. MLA provide the valuable opportunity to study the health care context in health care organizations and the associations between context and health care outcomes. This article's aims are to introduce this particular method of data analysis, to discuss its' benefits and its' applicability particularly for Health Services Research focusing on organizational characteristics and to provide a concise guideline for performing the analysis. First, the benefits and the necessity for MLA compared to ordinary correlation analyses in the case of hierarchical data are discussed. Furthermore, the statistical requirements and key decisions for the performance of MLA are illustrated. © Georg Thieme Verlag KG Stuttgart · New York.

Tonic Seizure Status Epilepticus Triggered by Valproate in a Child with Doose Syndrome.

PubMed

Grande-Martín, Alberto; Pardal-Fernández, José Manuel; Carrascosa-Romero, María Carmen; De Cabo, Carlos

2016-06-01

Antiepileptic drugs may occasionally increase seizure frequency or eliciting de novo seizure occurrence; the underlying mechanism of these effects is not known. The potential adverse effects of valproic acid in myoclonic astatic epilepsy have been noted by experienced clinicians in various different regions of the world, but this important observation has not been sufficiently reported. We present the case of tonic status epilepticus in an 8-year-old boy with Doose syndrome related to valproic acid. Valproic acid, such as others antiepileptic drugs, is liable to produce paradoxical effects such as the atypical seizures we report. We emphasize the importance for the management of acute seizures in an intensive care unit setting and increase awareness of the acute toxic effects of antiepileptic drugs. Georg Thieme Verlag KG Stuttgart · New York.

[Transfer of critically ill patients between hospitals - fundamentals and requirements].

PubMed

Lichy, Gregor; Braun, Jörg

2016-11-01

Due to the increasingly changed clinical landscape, which leads to a reduction of clinical facilities in rural regions. This also leads to a centralized clinical care, in addition to limited care options in the periphery. Therefore the interhospital transfer is becoming increasingly important. Specialized centers have become more and more important through this centralization of clinical care. Not only the number of transports, but also the transport distances have steadily increased in recent years. It is necessary to differentiate centripetal transports into the centers of the maximum and centrifugal transports back to peripheral clinics, weaning devices or rehabilitation facilities. Especially in the case of the latter, the number of patients still to be transported under intensive medical conditions has clearly increased. © Georg Thieme Verlag Stuttgart · New York.

[Infusion of Daratumumab in Combination Therapies - Practical Information for The Outpatient Area].

PubMed

Scheid, Christof; Munder, Markus; Salwender, Hans; Engelhardt, Monika

2018-06-06

Combination therapies such as Dara-Rd and Dara-Vd show significantly higher survival rates after 12 months than the respective therapies without Daratumumab. The initial infusion of Daratumumab is associated with a high incidence of IRR. Dosage and speed of infusion of Daratumumab have to be strictly controlled. Any suspicion of even low IRR requires corrections. Concomitant medication before and after Daratumumab administration is required. For this purpose, various preparations have been tested in everyday clinical practice. Eight hours of infusion may be required. This does not only overwhelm the patient, but also the most ambulant structures. The split-dose concept means to divide the dose into infusions on different days. Again, the dosage is crucial for good compatibility. © Georg Thieme Verlag KG Stuttgart · New York.

[Myocardial infarction (NSTEMI) in a young patient with coronary aneurysm].

PubMed

Kulzer, M J; Mooyaart, E A Q; Hetterich, H

2012-04-01

A 28-year-old man without a significant past medical history presented to our emergency department with severe chest pain and dyspnoa. Vital signs and the rest of the physical examination were unremarkable. The electrocardiogram showed T-wave inversions and the cardiac enzymes were elevated. Angiocardiography showed an aneurysm of the right coronary artery and a thrombus formation in its distal part. Intracoronary thrombolytic therapy was attempted an oral anticoagulation was started. Further investigations did not find the cause of the aneurysmatic RCA. The patient had no further episode of chest pain. Acute coronary syndrome is a rare finding in patients under the age of 30 years. Coronary aneurysms with associated thrombus can be the cause of it. © Georg Thieme Verlag KG Stuttgart · New York.

[Proton pump inhibitor - side effects and complications of long-term proton pump inhibitor administration].

PubMed

Ueberschaer, Hendrik; Allescher, Hans-Dieter

2017-01-01

Proton Pump Inhibitors are among the most common drugs taken. The indication is for treatment of heartburn, reflux disease, prophylaxis and treatment of peptic ulcers, in combination with NSAIDs and steroids as well as H. pylori-eradication. PPI's are widely used, even with non-specific symptoms. This certainly has to do with good tolerability and a previously considered low side effect profile. At the moment, there is growing evidence that the long-term intake of PPI's may not be as safe as assumed. In addition to interactions with some drugs, including platelet aggregation inhibitors, recent studies have shown an increased risk of myocardial infarction, interstitial nephritis, chronic renal injury, infections, vitamin deficiencies and electrolyte shifts as well developing dementia. © Georg Thieme Verlag KG Stuttgart · New York.

[Current standards in the treatment of gastric cancer].

PubMed

Hacker, Ulrich; Lordick, Florian

2015-08-01

Endoscopic resection is established in the treatment of early gastric cancer. More advanced gastric cancer requires gastrectomy and D2 lymphadenectomy. Perioperative chemotherapy improves overall survival in locally advanced gastric cancer representing a standard of care. Locally advanced adenocarcinomas of the esophago-gastric junction can alternatively be treated with concurrent radiochemotherapy. In metastatic disease, systemic chemotherapy improves survival, quality of life and symptom control. Trastuzumab plus chemotherapy should be used together with first-line chemotherapy in HER2 positive gastric cancer patients. Second- and third-line therapy is now well established. The anti-VEGFR2 antibody Ramucirumab improves survival in second line treatment both as a monotherapy and in combination with paclitaxel and represents a novel treatment option. © Georg Thieme Verlag KG Stuttgart · New York.

[Domestic violence against women of a crisis intervention population - forms of violence and risk factors].

PubMed

Nyberg, E; Stieglitz, R-D; Flury, M; Riecher-Rössler, A

2013-06-01

BACKGROUND AND HYPOTHESES: Domestic violence is common and can lead to severe physical and psychological problems. Thus, we have investigated the frequency of occurrence, forms and risk factors of domestic violence against female patients on a crisis intervention ward. 115 women were screened with the "screening spouse violence" (SPG) and the "index of spouse abuse" (ISA). The life time prevalence concerning spouse violence was 70 %. Out of 74 women who were currently living in a relationship 28 (38 % )were victims of violence in the last 12 months prior to their admission. Women who experienced violence had a significantly lower level of education. Screening for domestic violence in female patients in the field of crisis intervention and psychiatry should become a standard of "good clinical practice". © Georg Thieme Verlag KG Stuttgart · New York.

[Psychiatric outpatient consultation-liaison services--how do they work and what are their effects: results of a pilot study?].

PubMed

Kirchen-Peters, Sabine; Fehrenbach, Rosa-Adelinde; Diefenbacher, Albert

2012-11-01

Many patients benefit from interventions performed by the psychiatric liaison service. Prospective longitudinal study of community dwelling elderly patients supplemented by a questionnaire answered by family members, as well as expert interviews with the members of the consultation-liaison team and semi-structured interviews with family members. The majority of patients had some benefit from the liaison psychiatric interventions, access to care was improved and lack of specialist support was reduced. In addition there was some cost offset due to prevention of admissions to nursing homes and inpatient hospital treatment. With regard to demographic developments gerontopsychiatric liaison services should be integrated into the present system of health care. This should be supported by adjusting judicial obstacles that hamper such strategies. © Georg Thieme Verlag KG Stuttgart · New York.

Magneto-chiral anisotropy of the free electron on a helix

NASA Astrophysics Data System (ADS)

Krstić, V.; Rikken, G. L. J. A.

2002-09-01

The free electron on a helix as a simple model of a molecular chiral conductor is considered. In the presence of a static magnetic field parallel to the helix axis, it is found that both ballistic and diffusive electrical transport along the helix show a conductivity that depends linearly on the current and the magnetic field and on the handedness of the helix. These results agree qualitatively with the recently experimentally observed electrical magneto-chiral anisotropy in carbon nanotubes [V. Krstić, S. Roth, M. Burghard, K. Kern, G.L.J.A. Rikken, Max-Planck-Institut für Festkörperforschung, Stuttgart, Germany; Grenoble High Magnetic Field Laboratory, MPI-CNRS, Grenoble, France; Laboratoire National des Champs Magnétiques Pulsés, CNRS/INSA/UPS, UMS 5462, Toulouse, France].

[Factorial structure and psychometric criteria of the German translation of the Maslach Burnout Inventory--Student Version by Schaufeli et al. (MBI-SS)].

PubMed

Gumz, Antje; Erices, Rainer; Brähler, Elmar; Zenger, Markus

2013-02-01

The Maslach Burnout Inventory (MBI) is the most commonly used instrument in research on burnout. For the German translation of the MBI student version (MBI-SS), the postulated 3-factorial structure of the questionnaire could be confirmed using confirmatory analyses. The internal consistencies of the scales can be classified as good. First findings underline the construct validity of the questionnaire. As expected, burnout was associated with psychic and somatic complaints as well as with experienced social support. Couples reported higher "Efficiency" levels. Academic studies became less important with increasing duration. Time pressure during the last month was correlated with "Exhaustion". The presented findings on factorial structure and validity speak for the applicability of MBI-SS for research projects on students of German institutes of higher education. © Georg Thieme Verlag KG Stuttgart · New York.

[Sickness absence and disability due to psychiatric disorders from a gender perspective - a systematic literature review].

PubMed

Dietrich, S; Stengler, K

2013-06-01

This work is aimed at providing a review of the literature on gender differences in the prevalence of mental disorders at the workplace. A systematic literature search of all original works on sickness absence and disability due to psychiatric disorders published in PubMed from 2000 through to 2011 was undertaken. Female employees have more frequent and longer sickness absences due to psychiatric disorders. Male employees are at a high risk of disability due to psychiatric disorders. Gender-specific prevention strategies at the workplace should target the prevention of short and long-term consequences for female employees and the long-term impact of psychiatric disorders in male employees. However, there is still a lack of knowledge about implications for gender specific prevention strategies at the workplace. © Georg Thieme Verlag KG Stuttgart · New York.

[Mass casualty incidents - current concepts and developments].

PubMed

Savinsky, Godo; Stuhr, Markus; Kappus, Stefan; Trümpler, Stefan; Wenderoth, Stephan; Wohlers, Jan-Hauke; Paschen, Hans-Richard; Kerner, Thoralf

2014-12-01

Medical concepts and strategies are permanently changing. Due to the emergency response in a mass casualty incident everyone who is involved has to work together with different organisations and public authorities, which are not part of the regular emergency medical service. Within the last 25 years throughout the whole country of Germany the role of a "chief emergency physician" has been implemented and in preparation for the FIFA World Cup 2006 mobile treatment units were set up. In 2007, special units of the "Medical Task Force" - funded by the german state - were introduced and have been established by now. They will be a permanent part of regional plannings for mass casualty incidents. This article highlights current concepts and developments in different parts of Germany. © Georg Thieme Verlag Stuttgart · New York.

M/A-COM linkabit eastern operations

NASA Astrophysics Data System (ADS)

Mills, D. L.; Avramovic, Z.

1983-03-01

This first Quarterly Project Report on LINKABIT's contribution to the Defense Advanced Research Projects Agency (DARPA) Internet Program covers the period from 22 December 1982 through 21 March 1983. LINKABIT's support of the Internet Program is concentrated in the areas of protocol design, implementation, testing, and evaluation. In addition, LINKABIT staff are providing integration and support services for certain computer systems to be installed at DARPA sites in Washington, D.C., and Stuttgart, West Germany. During the period covered by this report, LINKABIT organized the project activities and established staff responsibilities. Several computers and peripheral devices were made available from Government sources for use in protocol development and network testing. Considerable time was devoted to installing this equipment, integrating the software, and testing it with the Internet system.

Microwave assisted synthesis and anti-lipase activity of some new fluorine-containing benzimidazoles.

PubMed

Menteşe, E; Yilmaz, F; Ülker, S; Kahveci, B

2015-01-01

In this study, a new series of fluorine containing benzimidazoles (4a-l) and bisbenzimidazoles (6a-c, 8) were synthesized by the reaction of o-phenylenediamines with iminoester hydrochlorides (3a-l, 7) in methanol under microwave irradiation. The structures of these newly synthesized compounds were identified by IR, (1)H-NMR, (13)C-NMR, mass spectroscopy and elemental analysis data. The synthesized compounds were screened for their pancreatic lipase activities. Our results indicate that the compounds 6a, 6b and 6c can serve as an anti-lipase agent. The compounds 6b and 6c inhibited pancreatic lipase activity by 84.03% and 97.49% at a concentration of 3 µg/mL, respectively. © Georg Thieme Verlag KG Stuttgart · New York.

[Chronic Inflammatory Demyelinating Polyneuropathy].

PubMed

Balke, M; Wunderlich, G; Brunn, A; Fink, G R; Lehmann, H C

2016-12-01

Chronic inflammatory demyelinating polyneuropathy (CIDP) is a chronic progressive or relapsing autoimmune neuropathy with heterogeneous clinical presentation. Symptoms typically include symmetrical, proximal and/or distal paresis and sensory loss. Atypical CIDP variants are increasingly recognized, including subtypes with rapid onset as well as variants with pure sensory, focal or marked asymmetrical deficits. Diagnosis is established by compatible symptoms, characteristic electrophysiological features and cerebrospinal fluid analysis. In unequivocal cases, inflammatory infiltrates in sural nerve biopsy support the diagnosis. Recent studies suggest that diagnostic imaging techniques such as MRI and nerve ultrasound may become useful tools for establishing the diagnosis. First-line therapies include immunoglobulines, steroids, and plasmapheresis. Immunosuppressant agents and monoclonal antibodies are used in therapy-refractory cases or as cortison-saving agents. © Georg Thieme Verlag KG Stuttgart · New York.